| NPI | 1083484703 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSLYN I SMITH Co Owner/ Member 601-966-0167 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 251B00000X Case Management |
| 310400000X Assisted Living Facility | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 251C00000X Day Training, Developmentally Disabled Services | |
| 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness | |
| Enumeration Date | 2024-01-03 |
| Last Update Date | 2025-10-14 |