| NPI | 1821537614 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN ROLLINS STAFFORD Owner 601-594-0011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MS 1320) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MS 959) |
| Enumeration Date | 2017-02-14 |
| Last Update Date | 2017-02-14 |