| NPI | 1447295654 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WALTER LEE FRAZIER Executive Director 601-636-5703 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MS 779) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MS 1046) |
| 104100000X Social Worker (Licence: MS C5390) | |
| 106H00000X Marriage & Family Therapist (Licence: MS C5390) | |
| Enumeration Date | 2006-06-19 |
| Last Update Date | 2020-08-22 |