| NPI | 1881543692 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERESIA TRIPLETT CEO 662-736-4196 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2026-01-26 |
| Last Update Date | 2026-10-02 |