| NPI | 1215276175 |
|---|---|
| Doing Business As | COMMUNITY CARE CLINIC AT NEW HOPE |
| Entity Type | Organization |
| Authorized Contact | JOSEPH A GILLIS President 662-327-5202 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2013-02-12 |
| Last Update Date | 2013-02-12 |