| NPI | 1154904035 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRAIG WATSON CEO 601-760-2050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2021-04-29 |
| Last Update Date | 2024-12-09 |