| NPI | 1407284235 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUSSELL SCHULTE Co Owner, Lpc 601-842-4385 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MS 1207) |
| Enumeration Date | 2013-10-14 |
| Last Update Date | 2013-10-14 |