| NPI | 1447894464 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATASHA GRANT Owner 601-497-6663 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 251B00000X Case Management |
| 251K00000X Public Health or Welfare | |
| Enumeration Date | 2019-11-01 |
| Last Update Date | 2019-11-01 |