NPI | 1962995860 |
---|---|
Entity Type | Organization |
Authorized Contact | MANDY MCDONALD Billing Manager 228-863-1132 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MS M8723) |
Enumeration Date | 2018-06-14 |
Last Update Date | 2018-06-14 |