| NPI | 1356188692 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SELICA GRANDERSON Director 601-331-4463 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 133NN1002X Nutritionist, Nutrition, Education | |
| 221700000X Art Therapist | |
| 222Q00000X Developmental Therapist | |
| 225100000X Physical Therapist | |
| 225800000X Recreation Therapist | |
| 225A00000X Music Therapist | |
| 225X00000X Occupational Therapist | |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2024-07-12 |
| Last Update Date | 2024-07-15 |