| NPI | 1629550363 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGG LEVY CEO 601-398-4485 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2018-08-29 |
| Last Update Date | 2021-08-31 |