| NPI | 1669513503 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA RAFF Executive Director 601-326-3728 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MS CYS23CRT01) |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2020-08-22 |