| 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 |