| NPI | 1205021946 |
|---|---|
| Other Name | HOMELESS CLINIC |
| Entity Type | Organization |
| Authorized Contact | JASMIN R CHAPMAN CEO 601-362-5321 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2007-09-06 |
| Last Update Date | 2010-10-29 |