| NPI | 1033574413 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORIE MICHELLE MCCOOL Administrator/Owner 601-483-4061 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| Enumeration Date | 2015-12-29 |
| Last Update Date | 2023-01-31 |