| NPI | 1316270630 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY J DORSEY-REDDING Owner 601-331-3085 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MS C0533) |
| Enumeration Date | 2009-09-18 |
| Last Update Date | 2009-09-18 |