| NPI | 1174387393 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERINISHA LA'SHA JOHNSON Licensed Professional Counselor 662-347-7352 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-02-08 |
| Last Update Date | 2024-08-02 |