| NPI | 1710591474 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EARNESTINE YVETT ROBY Owner/Clinical Director 662-574-6623 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 251S00000X |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 101Y00000X Counselor | |
| 101YP2500X Counselor, Professional | |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2020-09-01 |
| Last Update Date | 2020-09-24 |