NPI | 1710613294 |
---|---|
Entity Type | Organization |
Authorized Contact | DIDI ELLIS Executive Director 601-909-6294 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
Enumeration Date | 2022-07-27 |
Last Update Date | 2022-07-27 |