| NPI | 1730642927 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANA HOLMES-MOORE Owner / Manager 601-529-6482 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2019-04-13 |
| Last Update Date | 2019-04-13 |