NPI | 1144227901 |
---|---|
Entity Type | Organization |
Authorized Contact | AURELIA TAYLOR Cheif Executive Officer 662-624-4292 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2005-07-07 |
Last Update Date | 2023-01-26 |