| NPI | 1023575347 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILIP HARDIN Main Counselor/Therapist 601-925-0707 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2019-02-22 |
| Last Update Date | 2019-02-22 |