| NPI | 1780044438 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALFONZO HARALSON Licensed Professional Counselor 601-918-4885 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MS 678) |
| Enumeration Date | 2016-02-24 |
| Last Update Date | 2016-02-24 |