| NPI | 1831206572 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUG ALLEN COLE Interim Director 662-335-5274 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management (Licence: MS 16335) |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2009-09-08 |