| NPI | 1275726614 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH CONNELL HENDERSON Managing Member 601-572-8686 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2007-08-20 |
| Last Update Date | 2007-08-20 |