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 |