| NPI | 1881620649 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES MOCK Chief Financial Officer 601-443-2722 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 273Y00000X Rehabilitation Unit (Licence: MS 11220) |
| Enumeration Date | 2006-06-24 |
| Last Update Date | 2014-06-02 |