| NPI | 1245904150 |
|---|---|
| Doing Business As | INNOVATIVE HEALTH CLINIC |
| Entity Type | Organization |
| Authorized Contact | STACEY L HOLT CEO 601-944-5585 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Enumeration Date | 2021-08-04 |
| Last Update Date | 2022-09-23 |