| NPI | 1740482587 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUE C. FROTHINGHAM Director Of Counseling Services 662-332-1819 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MS 0350) |
| Enumeration Date | 2007-06-04 |
| Last Update Date | 2020-08-22 |