| NPI | 1164751079 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA THOMAS Director 601-799-4702 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: MS 55C4GH-3684) |
| Enumeration Date | 2009-12-24 |
| Last Update Date | 2009-12-24 |