NPI | 1821889130 |
---|---|
Entity Type | Organization |
Authorized Contact | ANNA MICHELLE BUCKNER President 601-362-7020 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2025-05-15 |
Last Update Date | 2025-05-15 |