| NPI | 1760762579 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ESTHER T. ANGLADE Clinical Director 601-706-4021 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MS T0378) |
| Enumeration Date | 2011-08-24 |
| Last Update Date | 2011-08-24 |