| NPI | 1326178039 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RON T SEAL CEO 601-268-8101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MS C0376) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: MS 1216B) |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2020-08-22 |