| NPI | 1275961393 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONICA TOBIAS Owner/Director 601-668-3752 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care |
| Additional Taxonomies | 251S00000X (Licence: MS 251S00000X) |
| Enumeration Date | 2013-10-29 |
| Last Update Date | 2022-12-06 |