| NPI | 1114471570 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT WHITLEY Chief Financial Officer 601-543-2022 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management (Licence: MS 895073) |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services (Licence: MS 895073) |
| 363LF0000X Nurse Practitioner, Family (Licence: MS 895073) | |
| Enumeration Date | 2016-08-15 |
| Last Update Date | 2016-09-05 |