| NPI | 1487984407 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLIE SPEARMAN Execuitive Director 662-720-4816 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2010-01-14 |
| Last Update Date | 2016-11-23 |