| NPI | 1689242869 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHERINE ASHY Billing And Insurance Manager 601-953-8420 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Enumeration Date | 2021-06-15 |
| Last Update Date | 2021-06-22 |