NPI | 1457081697 |
---|---|
Entity Type | Organization |
Authorized Contact | LAKETTA LOWERY Manager 601-717-0826 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2022-06-11 |
Last Update Date | 2022-06-11 |