NPI | 1285722678 |
---|---|
Entity Type | Organization |
Authorized Contact | KIMBERLY MADAKASIRA Vice President 601-939-5993 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2006-10-11 |
Last Update Date | 2020-08-22 |