NPI | 1962618223 |
---|---|
Other Name | PSYCHOLOGICAL SERVICES CENTER |
Entity Type | Organization |
Authorized Contact | SCOTT A GUSTAFSON Director 662-915-5272 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2007-05-15 |
Last Update Date | 2010-07-29 |