NPI | 1295282358 |
---|---|
Other Name | DR. ARENIA C. MALLORY COMMUNITY HEALTH CENTER, INC. |
Entity Type | Organization |
Authorized Contact | CLYDE ROZELL CHAPMAN Chief Executive Officer 662-834-2566 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2016-09-07 |
Last Update Date | 2016-09-07 |