| NPI | 1497099683 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTY BURKE-GULLETT Owner 601-218-6300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Enumeration Date | 2012-11-12 |
| Last Update Date | 2012-11-12 |