| NPI | 1073136131 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SYLVIA COPE DUNCAN President/Owner 662-394-5101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2020-05-24 |
| Last Update Date | 2020-06-25 |