NPI | 1144533167 |
---|---|
Entity Type | Organization |
Authorized Contact | KYLA WEARY CHASE CEO 601-613-9971 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MS 163wc1500x) |
Enumeration Date | 2010-07-19 |
Last Update Date | 2010-07-19 |