| NPI | 1821719584 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANICE LEONARD Director 601-873-8052 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 251S00000X |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children | |
| Enumeration Date | 2022-09-09 |
| Last Update Date | 2022-09-09 |