| NPI | 1417349150 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONYA C TATE CEO/Owner 601-954-2421 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 172V00000X Community Health Worker |
| 251S00000X | |
| Enumeration Date | 2015-03-03 |
| Last Update Date | 2015-03-03 |