| NPI | 1073072013 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAMEIKA DAVIS Co Owner 601-502-6639 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 1041C0700X Social Worker, Clinical | |
| 251B00000X Case Management | |
| Enumeration Date | 2019-03-19 |
| Last Update Date | 2022-03-08 |