| NPI | 1922793736 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROGENIA PARKER CEO 601-497-7551 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 101YP2500X Counselor Professional | |
| 103TC0700X Psychologist Clinical | |
| 103TC1900X Psychologist Counseling | |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health | |
| Enumeration Date | 2023-04-07 |
| Last Update Date | 2023-04-11 |