| NPI | 1376816900 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVE A OTTING Director Of Operations 601-824-0342 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2012-02-13 |
| Last Update Date | 2022-06-27 |