| NPI | 1801342910 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THEA BARNES CEO/Owner 662-347-4989 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care (Licence: MS 1205) |
| Enumeration Date | 2016-08-29 |
| Last Update Date | 2016-08-29 |