| NPI | 1841966512 |
|---|---|
| Doing Business As | WEB PORTAL |
| Entity Type | Organization |
| Authorized Contact | LEAH DEDEAUX WILLIAMSON Owner 601-543-2852 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2021-08-21 |
| Last Update Date | 2025-01-23 |