| NPI | 1215379136 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA JO SEYMOUR Owner 228-424-7590 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MS C5562) |
| Enumeration Date | 2013-07-19 |
| Last Update Date | 2013-07-19 |