| NPI | 1124307194 |
|---|---|
| Doing Business As | TALBOT ADAMS LCSW |
| Entity Type | Organization |
| Authorized Contact | JESSE TALBOT ADAMS Psychotherapist / Member / Manager 662-801-4249 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305S00000X Point of Service (Licence: MS C5529) |
| Enumeration Date | 2011-08-09 |
| Last Update Date | 2011-08-09 |