| NPI | 1710782685 |
|---|---|
| Other Name | PATH TO FREEDOM LLC |
| Entity Type | Organization |
| Authorized Contact | JERICA FOXWORTH Pmhnp 601-202-0847 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2025-02-15 |
| Last Update Date | 2025-02-19 |