| NPI | 1902395361 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CASEY BEARSS Owner, Counselor 228-382-3138 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MS 2229) |
| Enumeration Date | 2018-05-01 |
| Last Update Date | 2020-03-11 |