| NPI | 1548869712 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA FAYE PENDLETON Licensed Clinical Social Worker 601-201-4111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Enumeration Date | 2020-10-20 |
| Last Update Date | 2020-10-20 |