| NPI | 1699548776 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON GATES-ALBERT Owner 662-322-3898 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YS0200X Counselor, School | |
| 106H00000X Marriage & Family Therapist | |
| 251B00000X Case Management | |
| 251S00000X | |
| Enumeration Date | 2023-11-01 |
| Last Update Date | 2023-11-01 |