NPI | 1144854860 |
---|---|
Entity Type | Organization |
Authorized Contact | JESSICA G. DEAN Owner/Clinical Director 601-870-3905 |
Organization Subpart ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
Enumeration Date | 2020-03-03 |
Last Update Date | 2020-03-03 |