| NPI | 1184099749 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERRILYN DIXSON Therapist 601-201-4421 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MS 1980) |
| Enumeration Date | 2015-12-08 |
| Last Update Date | 2015-12-08 |