| NPI | 1710522842 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TASHINIKA CROWLEY Licensed Professional Counselor 601-720-9945 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2019-11-13 |
| Last Update Date | 2023-07-10 |