| NPI | 1568827863 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM FELTON MCNEESE Owner/Proprietor 662-469-6127 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: MS 1895) |
| Enumeration Date | 2015-12-31 |
| Last Update Date | 2015-12-31 |