| NPI | 1215458880 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LITHONYA SHIRIKA BEVILL Owner 662-312-6141 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MS C5604) |
| Enumeration Date | 2017-07-04 |
| Last Update Date | 2024-11-05 |