| NPI | 1760737621 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBBIE J. FERGUSON Director 601-683-4201 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care (Licence: MS CMRC-BCS-ALZD-01) |
| Enumeration Date | 2012-07-17 |
| Last Update Date | 2012-07-19 |