| NPI | 1467868372 |
|---|---|
| Doing Business As | GARY ROAD ELEMENTARY SCHOOL |
| Entity Type | Organization |
| Authorized Contact | JASMIN CHAPMAN Chief Executive Officer 601-364-5142 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2014-07-11 |
| Last Update Date | 2017-12-22 |