NPI | 1720326473 |
---|---|
Entity Type | Organization |
Authorized Contact | DAVID MARION Co Owner 601-956-4816 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MS 12 00024395) |
Enumeration Date | 2013-01-30 |
Last Update Date | 2022-07-21 |