| NPI | 1881587194 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TINA Y BRUCE Owner 601-807-3833 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor, Mental Health | |
| 251B00000X Case Management | |
| 251S00000X Community/Behavioral Health | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2025-06-03 |
| Last Update Date | 2025-06-23 |