| NPI | 1003986993 |
|---|---|
| Doing Business As | WEST BOLIVAR WELL CHILD CLINIC |
| Entity Type | Organization |
| Authorized Contact | HENRY PHILLIPS Superintendent 662-759-3525 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare (Licence: MS R865655) |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2020-08-22 |