| NPI | 1619778586 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY GRIMSLEY Associate CFO Clinical Operations 601-815-6270 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2025-03-24 |
| Last Update Date | 2025-07-22 |