| NPI | 1386918324 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA M CLAYPOOL Owner 601-420-6867 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation (Licence: MS 0071) |
| Enumeration Date | 2012-03-07 |
| Last Update Date | 2012-03-07 |