| NPI | 1831361898 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORIE MICHELLE MCCOOL Administrator 601-656-0340 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| 253Z00000X In Home Supportive Care | |
| Enumeration Date | 2008-03-31 |
| Last Update Date | 2023-01-26 |