| NPI | 1407101256 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOYCE SMITH BOWENS CEO/Lpn 662-557-2222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| Enumeration Date | 2012-07-18 |
| Last Update Date | 2022-09-15 |