| NPI | 1487186110 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARBY D WALTON Licensed Professional Counselor 662-710-8570 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MS 2122) |
| Enumeration Date | 2017-03-31 |
| Last Update Date | 2017-03-31 |