| NPI | 1760921225 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEVERLY CARSON WASHINGTON Owner/CEO 601-953-7780 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MS 901777) |
| Enumeration Date | 2017-02-16 |
| Last Update Date | 2017-02-16 |