| NPI | 1285935932 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RON MUMBOWER Director 601-949-1949 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2010-11-11 |
| Last Update Date | 2010-11-11 |