| NPI | 1598995136 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDY D. HARRIS-BROWN Executive Director 662-453-4898 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care |
| Enumeration Date | 2009-07-16 |
| Last Update Date | 2009-07-16 |