| NPI | 1427364397 |
|---|---|
| Doing Business As | CFHC-GULFPORT HEALTH CENTER EXTENSIOIN |
| Entity Type | Organization |
| Authorized Contact | ANGELIQUE GREER Chief Executive Officer 228-374-2494 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2010-08-30 |
| Last Update Date | 2010-08-30 |