| NPI | 1063795870 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANNELL SPEIGHTS ROBERTS Co Owner Program Director 601-466-9190 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TS0200X Psychologist, School (Licence: MS 47821) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: MS 204130) |
| Enumeration Date | 2011-09-28 |
| Last Update Date | 2011-09-28 |