| NPI | 1811497464 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DESARAE SWILLEY RICE Owner 601-799-9500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MS C6956) |
| Enumeration Date | 2018-02-20 |
| Last Update Date | 2022-07-07 |