| NPI | 1689928343 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BROOKE OWENS Board Certified Behavior Analyst 601-946-3086 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2012-11-02 |
| Last Update Date | 2012-11-02 |