| NPI | 1144156209 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRITTANY RAYCHELLE THADISON Owner/ CEO 601-669-6787 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2026-06-18 |
| Last Update Date | 2026-06-18 |