| NPI | 1841846904 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SYRENIA LESLIE WINTERS Owner/Practitioner 662-892-2660 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2019-08-14 |
| Last Update Date | 2023-02-22 |