| NPI | 1699361980 |
|---|---|
| Doing Business As | PROJECT CULTIVATE |
| Entity Type | Organization |
| Authorized Contact | THOMAS STUART CARPENTER Director 601-212-3782 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2020-12-21 |
| Last Update Date | 2020-12-21 |