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 |