| NPI | 1134016942 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATISHA ABRAMS BRACEY Director 601-874-1992 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 261QD1600X Clinic/Center, Developmental Disabilities |
| Enumeration Date | 2025-06-23 |
| Last Update Date | 2025-06-23 |