| NPI | 1487364527 |
|---|---|
| Doing Business As | TABITHA AMMONS |
| Entity Type | Organization |
| Authorized Contact | TABITHA AMMONS Owner 601-672-9616 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| Enumeration Date | 2022-11-30 |
| Last Update Date | 2022-11-30 |