| NPI | 1720476906 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHIRLEY DANIELS Owner 601-316-6163 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2014-12-23 |
| Last Update Date | 2014-12-23 |