| NPI | 1306858550 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBBIE K WELLS President/Owner 662-327-5600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MS #0349) |
| Enumeration Date | 2006-08-13 |
| Last Update Date | 2020-08-22 |