| NPI | 1831243070 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CURTIS E. ALFORD Executive Director 601-366-0123 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225X00000X Occupational Therapist | |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2010-01-27 |