| NPI | 1689230807 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA BUSBY-ROBINSON Chief Executive Officer 662-299-7336 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2019-05-13 |
| Last Update Date | 2019-05-25 |