NPI | 1720327919 |
---|---|
Other Name | PETAL MIDDLE SCHOOL |
Entity Type | Organization |
Authorized Contact | KAYE RAY Chief Executive Officeer 601-545-8700 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2013-02-07 |
Last Update Date | 2022-09-06 |