| NPI | 1518571298 |
|---|---|
| Doing Business As | NATOYA DAVIS HENDERSON |
| Entity Type | Organization |
| Authorized Contact | NATOYA DAVIS HENDERSON Owner 662-207-5820 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| Enumeration Date | 2020-09-01 |
| Last Update Date | 2022-04-20 |