| NPI | 1457194813 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BROOKE TERRY Professional Counselor Associate 601-383-1985 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-06-14 |
| Last Update Date | 2025-12-12 |