| NPI | 1164722559 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTHA DAVIS Administrator 228-762-1117 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0005X Clinic/Center, Ambulatory Family Planning Facility (Licence: MS r863092) |
| Enumeration Date | 2010-11-01 |
| Last Update Date | 2010-11-01 |