NPI | 1689047292 |
---|---|
Doing Business As | COMMONWEALTH APARTMENT COMPLEX |
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 |