NPI | 1578578092 |
---|---|
Other Name | IBS, INC. |
Entity Type | Organization |
Authorized Contact | DOROTHY J MCGILL COO 601-952-0894 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MS C6034) |
Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: MS LH0186) |
103TC0700X Psychologist Clinical (Licence: MS 34561) | |
Enumeration Date | 2006-07-31 |
Last Update Date | 2013-05-06 |