| NPI | 1275071706 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATARA JONES Mental Health Specialist 601-443-7489 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management (Licence: LA 13763) |
| Enumeration Date | 2017-02-03 |
| Last Update Date | 2017-02-03 |