| NPI | 1710138201 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARREN HALL CEO 662-418-6955 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities |
| Enumeration Date | 2008-10-02 |
| Last Update Date | 2008-10-02 |