NPI | 1386780740 |
---|---|
Entity Type | Organization |
Authorized Contact | BETSY H STORMS President 601-679-1527 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MS 320) |
Enumeration Date | 2007-01-30 |
Last Update Date | 2020-08-22 |