| NPI | 1730100819 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHAUNCY WRIGHT Chief Executive Officer 662-335-1212 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 1041C0700X Social Worker Clinical |
| 251B00000X Case Management | |
| Enumeration Date | 2006-07-22 |
| Last Update Date | 2020-08-22 |