| NPI | 1154424554 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASMIN O CHAPMAN CEO 601-364-5142 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2018-10-25 |