NPI | 1497156384 |
---|---|
Entity Type | Organization |
Authorized Contact | LATORIA MILLER Biller/Credential Specialist 601-321-2497 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MS 2054) |
Enumeration Date | 2014-09-10 |
Last Update Date | 2014-09-10 |