| NPI | 1073708384 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA M. CROSS Executive Director 601-799-5886 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MS C7306) |
| Enumeration Date | 2007-09-10 |
| Last Update Date | 2008-06-24 |