| NPI | 1831113240 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY S WESSELMAN Chief Executive Officer 601-443-2600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MS 11220) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MS 11220) |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2020-08-22 |