| NPI | 1013793744 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENYA LASHANE CRAWFORD-WALKER Clinical Director/Owner 662-295-6779 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| 364SP0807X Clinical Nurse Specialist, Psych/Mental Health, Child & Adolescent | |
| 364SP0808X Clinical Nurse Specialist, Psych/Mental Health | |
| 364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult | |
| Enumeration Date | 2023-09-07 |
| Last Update Date | 2023-09-07 |