| NPI | 1467763136 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RHONDA SANDERS Owner 601-749-9477 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MS C5770) |
| Enumeration Date | 2010-06-28 |
| Last Update Date | 2010-06-28 |