| NPI | 1689192270 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEVONDA NEWSOME Owner 662-260-2942 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2017-09-02 |
| Last Update Date | 2020-07-16 |