NPI | 1003153073 |
---|---|
Other Name | PETAL HIGH SCHOOL |
Entity Type | Organization |
Authorized Contact | KAYE RAY C E O 601-545-8700 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2013-01-11 |
Last Update Date | 2022-09-06 |