| NPI | 1477281327 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABBIE K LUCK Licensed Clinical Social Worker 228-331-3310 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2022-08-09 |
| Last Update Date | 2022-08-09 |