| NPI | 1417210154 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARON CORNELIUS HEATH Director/Administrator 601-917-9483 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2012-06-18 |
| Last Update Date | 2012-06-18 |