| NPI | 1245691187 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDA FAYE FRELIX Licensed Professional Counselor 601-906-5323 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: MS 1723) |
| Enumeration Date | 2016-03-18 |
| Last Update Date | 2016-03-18 |