NPI | 1649778739 |
---|---|
Entity Type | Organization |
Authorized Contact | DONNA MARIE HOLT Owner Administrator 228-623-5004 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2018-01-24 |
Last Update Date | 2018-01-24 |