| NPI | 1477429413 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MYA SHA'KIRA WILLIAMS Licensed Clinical Social Worker 662-609-9078 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2025-10-16 |
| Last Update Date | 2025-10-16 |