| NPI | 1396068326 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILIP PREWETTE Asst. Director 601-924-5433 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MS T0389) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MS 1113) |
| 106H00000X Marriage & Family Therapist (Licence: MS T0243) | |
| Enumeration Date | 2010-03-04 |
| Last Update Date | 2010-03-04 |