| NPI | 1205226016 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATANYA MICHELLE HOPSON Sole Owner/Manager 601-917-1776 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MS C4820) |
| Enumeration Date | 2015-02-01 |
| Last Update Date | 2015-02-01 |