| NPI | 1730067695 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN K BERRY Clinical Operations Director 601-573-3859 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225X00000X Occupational Therapist | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| Enumeration Date | 2025-08-26 |
| Last Update Date | 2025-08-26 |