| NPI | 1407221930 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN ROLLINS STAFFORD CEO/Licensed Professional Counselor 601-790-9551 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MS 959) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MS 1799) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MS 15393) | |
| Enumeration Date | 2015-12-09 |
| Last Update Date | 2015-12-09 |