| NPI | 1942497169 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHEILA G. BRAND Executive Director 662-494-4867 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MS C5787) |
| Enumeration Date | 2007-10-02 |
| Last Update Date | 2007-10-02 |