| NPI | 1891453346 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATRINA MARTIN Director 601-926-8026 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2021-12-01 |
| Last Update Date | 2021-12-01 |