| NPI | 1295185395 |
|---|---|
| Doing Business As | LIFE HELP MYPAC |
| Entity Type | Organization |
| Authorized Contact | PHAEDRE COLE Executive Director 662-453-6211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2016-06-20 |
| Last Update Date | 2016-06-20 |