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 |