NPI | 1740951805 |
---|---|
Entity Type | Organization |
Authorized Contact | TAMEKIA TAYLOR Owner/Manager 662-347-5997 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Additional Taxonomies | 251E00000X Home Health |
251S00000X | |
261QA0600X Clinic/Center, Adult Day Care | |
261QM0850X Clinic/Center, Adult Mental Health | |
Enumeration Date | 2021-09-27 |
Last Update Date | 2023-07-17 |