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