| NPI | 1982321964 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE BOUCHER-SNODGRASS Licensed Psychologist/Owner 601-282-5250 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2022-10-20 |
| Last Update Date | 2022-10-20 |