NPI | 1770886012 |
---|---|
Entity Type | Organization |
Authorized Contact | CAROL ANN WILLIAMS Adult Clinical Manger 662-349-2818 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: MS LPC 1510) |
Enumeration Date | 2010-12-08 |
Last Update Date | 2010-12-08 |