| NPI | 1023432135 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHYLANDRIA HUDSON Owner/CEO 601-942-1129 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MS C-5832) |
| Additional Taxonomies | 103T00000X Psychologist |
| 163WP0808X Registered Nurse, Psych/Mental Health | |
| Enumeration Date | 2014-02-10 |
| Last Update Date | 2014-02-10 |