| NPI | 1134225071 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILBERT L. JONES CEO 601-693-0118 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2024-05-03 |