| NPI | 1356651772 |
|---|---|
| Other Name | THE GROVE OUTPATIENT THERAPY CLINIC |
| Entity Type | Organization |
| Authorized Contact | MICHAEL BRADSHAW Administrator 601-736-4747 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MS 461) |
| Enumeration Date | 2010-10-19 |
| Last Update Date | 2018-06-01 |