| 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 |