| NPI | 1467950675 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANITA CHARLENE HALL Owner 228-331-3310 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) (Licence: MS 702439) |
| Enumeration Date | 2018-01-23 |
| Last Update Date | 2023-02-17 |