| NPI | 1720181191 |
|---|---|
| Doing Business As | CLOVER CIRCLE ICF/MR |
| Entity Type | Organization |
| Authorized Contact | PAM K YOUNG Accounting Auditor 1 601-477-5606 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: MS 233) |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2008-06-12 |