| NPI | 1376880575 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMEKA DENISE HENDERSON Executive Director 601-618-8691 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2013-01-08 |
| Last Update Date | 2013-01-08 |