| NPI | 1174991855 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CURTIS E. ALFORD Executive Director 601-366-0123 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X (Licence: MS WDC-PVS-WAC-DSA-01) |
| Enumeration Date | 2015-09-11 |
| Last Update Date | 2015-09-11 |