| NPI | 1346451382 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WALTER L FRAZIER Counselor 601-981-5678 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MS 779) |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2020-08-22 |