| NPI | 1083047161 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY GIBBONS Clinical Director 601-355-2195 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Enumeration Date | 2013-08-13 |
| Last Update Date | 2014-09-04 |