NPI | 1053649749 |
---|---|
Doing Business As | DR. ARENIA C. MALLORY COMMUNITY HEALTH CENTER, INC. |
Entity Type | Organization |
Authorized Contact | CLYDE ROZELL CHAPMAN Chief Executive Officer 662-834-1857 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
Enumeration Date | 2009-11-18 |
Last Update Date | 2024-08-29 |