NPI | 1598357378 |
---|---|
Other Name | DHC-LELAND |
Entity Type | Organization |
Authorized Contact | MYRTIS SMALL Hr/Credentialing Director 662-741-8889 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2021-02-03 |
Last Update Date | 2021-02-03 |