| NPI | 1386497162 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOYCELYN LASHAE GREEN License Clinical Social Worker 601-831-7325 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2024-04-10 |
| Last Update Date | 2024-04-10 |