| NPI | 1013897388 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NEKITA LEATHERWOOD Owner/ Director 229-834-1098 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2025-09-05 |
| Last Update Date | 2025-10-20 |