NPI | 1457781486 |
---|---|
Entity Type | Organization |
Authorized Contact | MARGARET A GRAY President And CEO 601-825-7280 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2013-11-12 |
Last Update Date | 2024-05-03 |