NPI | 1497200570 |
---|---|
Entity Type | Organization |
Authorized Contact | JESSIE LUSTER SINGLETON Administrator 601-434-2977 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MS C5919) |
Enumeration Date | 2016-08-18 |
Last Update Date | 2016-08-18 |