| NPI | 1922384551 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL S LUCIUS Chief Administrative Officer 601-576-7853 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare |
| Enumeration Date | 2011-10-27 |
| Last Update Date | 2011-10-27 |