| NPI | 1194199042 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER P MOSS Treasurer 601-580-0636 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Additional Taxonomies | 385HR2060X Respite Care Respite Care, Mental Retardation and/or Developmental Disabilities |
| 385HR2065X Respite Care Respite Care, Physical Disabilities, Child | |
| Enumeration Date | 2015-11-16 |
| Last Update Date | 2021-08-03 |