| NPI | 1376727503 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PEARLIE CARTER Director 662-846-1115 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care (Licence: 04130501) |
| Enumeration Date | 2007-12-24 |
| Last Update Date | 2008-07-15 |