| NPI | 1215572102 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRIS BELL CEO 601-336-7392 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RA0401X Internal Medicine, Addiction Medicine |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2019-11-14 |
| Last Update Date | 2019-11-14 |