| NPI | 1689047201 |
|---|---|
| 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 | 2015-11-04 |
| Last Update Date | 2015-11-04 |