| NPI | 1043835747 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THERESA MOSLEY Owner 601-527-3533 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2020-06-09 |
| Last Update Date | 2020-06-09 |