| NPI | 1700093580 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TOMIE C BURDINE President 662-332-5060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MS C4544) |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2020-08-22 |