NPI | 1053046201 |
---|---|
Doing Business As | GMHC MOBILE ACCESS UNIT 2 |
Entity Type | Organization |
Authorized Contact | WILBERT JONES CEO 601-693-0118 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2022-07-21 |
Last Update Date | 2022-07-21 |