| NPI | 1134837230 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA MORRIS Owner/Operater 662-364-0131 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 208000000X Pediatrics |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry | |
| 101YM0800X Counselor, Mental Health | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| 2084P0005X Psychiatry & Neurology, Neurodevelopmental Disabilities | |
| Enumeration Date | 2022-11-08 |
| Last Update Date | 2026-02-23 |