NPI | 1154686426 |
---|---|
Entity Type | Organization |
Authorized Contact | DYANA W MOORE CEO/Owner 662-378-7681 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care |
Additional Taxonomies | 261QA0600X Clinic/Center, Adult Day Care |
Enumeration Date | 2012-07-11 |
Last Update Date | 2012-07-11 |