| NPI | 1427377266 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASMIN R CHAPMAN CEO 601-362-5321 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2010-05-19 |
| Last Update Date | 2010-05-19 |