| NPI | 1063603702 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA RENEA HEARST-TURNER Owner/Clinical Director 601-933-1136 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MS 39649) |
| Enumeration Date | 2007-08-07 |
| Last Update Date | 2007-08-07 |