| NPI | 1700480720 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MADISON GARTMAN Owner/Occupational Therapist 601-938-5254 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2020-11-30 |
| Last Update Date | 2020-11-30 |