| NPI | 1225413966 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERISH R JOHNSON Director Of Administrative Services 601-214-4664 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2015-07-23 |
| Last Update Date | 2015-07-23 |