| NPI | 1932498466 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARIEL CATHERYNE ANDERTON Member 601-405-0049 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MS 1527) |
| Enumeration Date | 2011-04-05 |
| Last Update Date | 2011-04-05 |