| NPI | 1326866120 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERICA ASHLEY BRUMFIELD Owner, Operator 601-874-3340 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2024-09-30 |
| Last Update Date | 2024-09-30 |