| NPI | 1902586993 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER A MARION Director 228-365-7769 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YP1600X Counselor, Pastoral | |
| Enumeration Date | 2023-07-24 |
| Last Update Date | 2023-07-24 |