| NPI | 1558529289 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLIE P. FYE Executive Director 662-323-5588 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MS 0745) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MS 1128) |
| Enumeration Date | 2008-05-29 |
| Last Update Date | 2023-12-12 |