| NPI | 1750074415 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARMEN M YOUNG Executive Director 601-613-4254 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM3000X Clinic/Center, Medically Fragile Infants and Children Day Care |
| Enumeration Date | 2023-05-30 |
| Last Update Date | 2023-05-30 |