| 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 |