| NPI | 1831974260 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA DENISE TATUM Owner 601-316-8046 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 104100000X Social Worker | |
| Enumeration Date | 2023-08-24 |
| Last Update Date | 2024-11-06 |