| NPI | 1922873546 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HUNTER BURNS Owner 601-480-8836 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| 261QM0850X Clinic/Center Adult Mental Health | |
| 261QM0855X Clinic/Center Adolescent and Children Mental Health | |
| Enumeration Date | 2023-11-24 |
| Last Update Date | 2023-11-24 |