| NPI | 1942478144 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH DANIEL JOHNSON Executive Director 601-631-0102 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MS c1126) |
| Enumeration Date | 2008-02-11 |
| Last Update Date | 2008-02-11 |