| NPI | 1033680350 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLYN S. JENKINS Clinical Mental Health Counselor 662-561-5765 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2018-12-14 |
| Last Update Date | 2018-12-14 |