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 |