| NPI | 1669575627 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER J WATKINS CEO 601-665-4162 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health (Licence: MS 09740) |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2025-01-08 |