| NPI | 1114324340 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FELICIA SORRELS President 662-822-3681 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care (Licence: MS R870151) |
| Enumeration Date | 2014-12-03 |
| Last Update Date | 2014-12-03 |