NPI | 1912238437 |
---|---|
Entity Type | Organization |
Authorized Contact | BERTRAND ANTOINE President 662-627-5317 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MS 07427785) |
Enumeration Date | 2010-01-22 |
Last Update Date | 2010-01-22 |