| NPI | 1710374269 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA RENEE SPANN Counselor/Owner 601-589-0990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MS 1639) |
| Enumeration Date | 2015-04-22 |
| Last Update Date | 2015-04-22 |