| NPI | 1972631141 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT RICHARD GILBERT President 601-977-9353 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MS 1225) |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2007-08-13 |