| NPI | 1518572965 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEVIN ARIEL WILLIAMS Owner 601-633-9146 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2020-09-12 |
| Last Update Date | 2022-12-12 |