| NPI | 1750713004 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDY N MCGREW-ROSE Executive Director 601-757-8846 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 302R00000X Health Maintenance Organization |
| 101Y00000X Counselor | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2013-08-08 |
| Last Update Date | 2013-08-08 |