NPI | 1477069037 |
---|---|
Entity Type | Organization |
Authorized Contact | JAMIE CELENE HIMES Executive Director 601-354-0983 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2017-12-19 |
Last Update Date | 2020-06-03 |