| NPI | 1457505315 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRAVIS L REEVES Asst Director 601-713-3457 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare (Licence: MS 01085 05.1) |
| Enumeration Date | 2008-11-05 |
| Last Update Date | 2008-11-05 |