NPI | 1891412151 |
---|---|
Entity Type | Organization |
Authorized Contact | BROOKLYN MICHELLE SELLERS Licensed Professional Counselor 662-523-3315 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2022-10-26 |
Last Update Date | 2022-10-26 |