| NPI | 1184028714 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATORIA MITCHELL Biller/Credential 601-321-2497 |
| Organization Subpart ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: MS m7217) |
| Enumeration Date | 2014-10-10 |
| Last Update Date | 2014-10-10 |