| NPI | 1558998799 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILIP MASSEY Executive Director 601-573-5063 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| 261QP2300X Clinic/Center, Primary Care | |
| 310400000X Assisted Living Facility | |
| 314000000X Skilled Nursing Facility | |
| Enumeration Date | 2020-03-26 |
| Last Update Date | 2023-11-27 |