NPI | 1477991560 |
---|---|
Entity Type | Organization |
Authorized Contact | DOUGLAS EDWIN BROWN CEO/Owner 601-624-1237 |
Organization Subpart ? | No |
Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: VA 4611) |
Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services (Licence: VA 0119003962) |
Enumeration Date | 2013-06-11 |
Last Update Date | 2023-10-03 |