| NPI | 1972004513 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID ANTHONY CAMINITI Owner 601-514-0088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: MS 2238) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MS 2238) |
| Enumeration Date | 2018-02-27 |
| Last Update Date | 2021-07-09 |