NPI | 1306185251 |
---|---|
Entity Type | Organization |
Authorized Contact | SHERRIE A. ANDERSON Vice President 228-218-6795 |
Organization Subpart ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MS SA708302) |
Additional Taxonomies | 101YP1600X Counselor, Pastoral (Licence: MS SA708302) |
251S00000X (Licence: MS SA708302) | |
Enumeration Date | 2013-02-12 |
Last Update Date | 2013-05-07 |