| NPI | 1154284016 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARUTHIA WILLIAMS POPE Executive Director / VP 601-914-2915 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| 251S00000X Community/Behavioral Health | |
| 323P00000X Psychiatric Residential Treatment Facility | |
| Enumeration Date | 2025-12-08 |
| Last Update Date | 2025-12-08 |