| NPI | 1255401618 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SACKY HORNE HOLDINESS Director 601-482-2246 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MS 0899) |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2020-08-22 |