NPI | 1619545621 |
---|---|
Entity Type | Organization |
Authorized Contact | LASHUNDRA CLARK Owner/CEO 601-488-4852 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Additional Taxonomies | 106H00000X Marriage & Family Therapist |
Enumeration Date | 2021-06-15 |
Last Update Date | 2021-06-15 |