| NPI | 1326423492 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH MICHELLE WOODS Owner/Administrator 662-719-6288 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care |
| Enumeration Date | 2015-07-29 |
| Last Update Date | 2015-07-30 |