| NPI | 1992513733 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARRI MYERS Owner 601-921-9708 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2024-12-26 |
| Last Update Date | 2025-07-18 |