| NPI | 1083437958 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELIA RANSOM JENKINS Therapist 662-645-7940 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0855X Clinic/Center Adolescent and Children Mental Health |
| Additional Taxonomies | 104100000X Social Worker |
| 251B00000X Case Management | |
| 251S00000X Community/Behavioral Health | |
| 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) | |
| 261QM0850X Clinic/Center Adult Mental Health | |
| Enumeration Date | 2024-11-07 |
| Last Update Date | 2024-11-07 |