| NPI | 1386088193 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMALA THOMPSON JEFFERSON President/ Chief Executive Officer 601-982-3555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care |
| Enumeration Date | 2013-04-23 |
| Last Update Date | 2022-07-21 |