| 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 Community/Behavioral Health (Licence: MS SA708302) | |
| Enumeration Date | 2013-02-12 |
| Last Update Date | 2013-05-07 |