| NPI | 1518604909 |
|---|---|
| Doing Business As | SOUTH SIDE COUNSELING INC |
| Entity Type | Organization |
| Authorized Contact | JENNIFER LYNNE NEWMAN Owner/President 424-789-3174 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2022-05-17 |
| Last Update Date | 2022-05-17 |