| NPI | 1902395577 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA G. BLOUNT Owner 601-569-1567 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2018-05-09 |
| Last Update Date | 2018-11-16 |