| NPI | 1699546051 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARITZA KENITA ROBINSON Owner 601-382-6694 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2024-01-12 |
| Last Update Date | 2026-03-10 |