| NPI | 1720201841 |
|---|---|
| Doing Business As | JOHNSON ELEMENTARY SCHOOL HEALTH CENTER |
| Entity Type | Organization |
| Authorized Contact | KIM HOOVER Managing Member 601-984-6270 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2009-05-21 |