| NPI | 1750979423 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHALONDA MARIE HOLLINGSWORTH Executive Director 601-550-1881 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care |
| Enumeration Date | 2021-01-07 |
| Last Update Date | 2021-07-13 |