| NPI | 1609531458 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTA P WITHEROW Owner 601-906-8066 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical |
| 106H00000X Marriage & Family Therapist | |
| 2084N0400X Psychiatry & Neurology, Neurology | |
| Enumeration Date | 2021-11-06 |
| Last Update Date | 2024-01-05 |