| NPI | 1013374347 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARRIE V PATE Owner And Practitioner 228-990-8980 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MS C6890) |
| Enumeration Date | 2016-01-17 |
| Last Update Date | 2019-05-01 |