| NPI | 1972454049 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY MCGOWAN Owner 601-550-1066 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2026-02-05 |
| Last Update Date | 2026-04-01 |