| NPI | 1851779979 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT LEE SMITH Director 601-405-7440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MS 1473) |
| Enumeration Date | 2015-05-08 |
| Last Update Date | 2015-05-08 |