NPI | 1205526449 |
---|---|
Entity Type | Organization |
Authorized Contact | DANYELLA TERRELL Owner 601-596-8937 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health |
Additional Taxonomies | 261QM0801X |
Enumeration Date | 2023-05-10 |
Last Update Date | 2023-05-11 |