| NPI | 1194536425 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEVIN FOSTER Cec/Founder 601-842-4718 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center Community Health |
| Additional Taxonomies | 261QF0050X Clinic/Center Family Planning, Non-Surgical |
| 261QH0100X Clinic/Center Health Service | |
| 261QM0850X Clinic/Center Adult Mental Health | |
| 261QS1000X Clinic/Center Student Health | |
| 251300000X Local Education Agency (LEA) | |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2025-01-16 |
| Last Update Date | 2025-01-16 |