NPI | 1609240621 |
---|---|
Entity Type | Organization |
Authorized Contact | BETSY CLAIRE NEILL-IRWIN President 662-428-7572 |
Organization Subpart ? | No |
Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: MS OT1508) |
Enumeration Date | 2015-11-16 |
Last Update Date | 2015-11-16 |