| NPI | 1750956744 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KANOBAYITA DORIS CEO 601-316-1347 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| Enumeration Date | 2021-05-24 |
| Last Update Date | 2023-02-28 |