| NPI | 1538956396 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANICE L. JACKSON CEO 228-343-6608 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| Enumeration Date | 2025-04-23 |
| Last Update Date | 2025-04-23 |