| NPI | 1437516556 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YOLANDA OWENS Therapist/Owner 601-383-2083 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MS C7335) |
| Enumeration Date | 2016-01-20 |
| Last Update Date | 2016-01-20 |