| NPI | 1013141357 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NGOZI EDMUNDS President 662-342-7023 |
| Organization Subpart ? | No |
| Primary Taxonomy | 385H00000X Respite Care |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| 282E00000X | |
| Enumeration Date | 2009-05-13 |
| Last Update Date | 2009-05-13 |