| NPI | 1831556331 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN M PARKER Administrator 601-336-4590 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness (Licence: MS 1092) |
| Enumeration Date | 2016-01-28 |
| Last Update Date | 2016-01-28 |