| NPI | 1649584749 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBBIE J FERGUSON Facility Director 601-683-4201 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health (Licence: MS DMHCMRC (A)) |
| Enumeration Date | 2010-07-30 |
| Last Update Date | 2010-07-30 |