| NPI | 1811244858 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNETTE BRYANT Owner/Provider 601-831-4402 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MS C6582) |
| Enumeration Date | 2012-08-09 |
| Last Update Date | 2018-08-07 |