| NPI | 1417271875 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT DAVID KREEGER Counselor 662-915-3784 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MS LMSW) |
| Enumeration Date | 2010-03-15 |
| Last Update Date | 2010-03-15 |