| NPI | 1942812805 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY NORRIS Licensed Professional Counselor 601-955-0187 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2020-08-20 |
| Last Update Date | 2024-05-30 |