NPI | 1124274196 |
---|---|
Entity Type | Organization |
Authorized Contact | KARINA MARIE CLAYTON Chief Financial Officer 601-825-7280 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2008-08-11 |
Last Update Date | 2018-07-03 |