| NPI | 1700562287 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTE TASHAY FORD MCBRIDE Founder/President/CEO 662-263-6044 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Additional Taxonomies | 251C00000X |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2023-06-27 |
| Last Update Date | 2023-06-27 |