| NPI | 1497380794 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARVAN LORRAINE CARTER Licensed Professional Counselor 601-701-3206 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2020-03-06 |
| Last Update Date | 2022-10-21 |