NPI | 1649685561 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHELLE E JOHNSON Office Manager 228-575-1970 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MS C6816) |
Enumeration Date | 2014-06-30 |
Last Update Date | 2014-06-30 |