| NPI | 1609285634 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBRELLE D MURRAY Board Member 601-572-1068 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2014-08-04 |
| Last Update Date | 2014-08-04 |