NPI | 1710450580 |
---|---|
Doing Business As | JCHC- THOMPSON HEAD START SCHOOL BASED CLINIC |
Entity Type | Organization |
Authorized Contact | SHIRLEY ELLIS CEO 601-786-3475 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2019-01-04 |
Last Update Date | 2019-01-04 |