| NPI | 1275046716 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILBERT JONES CEO 601-693-0118 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2017-11-07 |
| Last Update Date | 2024-05-03 |