| NPI | 1619310182 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAYMOND EARL VALLIER CEO/Administrator 662-393-6128 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care |
| Enumeration Date | 2013-04-15 |
| Last Update Date | 2013-04-15 |