| NPI | 1417253642 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDY CASSELL Owner 601-425-3020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: MS R865733) |
| Enumeration Date | 2011-02-05 |
| Last Update Date | 2011-02-05 |