| NPI | 1154580579 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN MARIE FOLEY Owner 601-616-1439 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health (Licence: MS R850842) |
| Enumeration Date | 2008-06-02 |
| Last Update Date | 2008-06-02 |