| NPI | 1053742684 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASEELAH NA'IMAH HARRISON Executive Director 601-988-3485 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| Enumeration Date | 2013-12-08 |
| Last Update Date | 2013-12-08 |