| NPI | 1528457801 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY ALEXANDER FRANK Chrsitian Clinical Counselor 601-336-9017 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: CA 6280347) |
| Enumeration Date | 2015-01-09 |
| Last Update Date | 2015-01-09 |