NPI | 1740524099 |
---|---|
Entity Type | Organization |
Authorized Contact | SHEILA ELAINE WILLIAMS Administrator 601-919-6131 |
Organization Subpart ? | No |
Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: MS no lic for MS) |
Enumeration Date | 2012-11-26 |
Last Update Date | 2012-11-26 |