| NPI | 1346489457 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PEDRO A MUNERA-CORDOBA Clinical Director 601-282-5346 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: MS 17363) |
| Enumeration Date | 2009-02-12 |
| Last Update Date | 2009-02-12 |