| NPI | 1174497994 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MORRIS DIXON Business Operations Manager 601-850-1087 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 251B00000X Case Management |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2025-10-03 |
| Last Update Date | 2025-10-05 |