NPI | 1205436003 |
---|---|
Entity Type | Organization |
Authorized Contact | SHONDA MONIQUE SESSOMS Licensed Professional Counselor 601-622-1274 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2020-10-29 |
Last Update Date | 2020-10-29 |