| NPI | 1730276965 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT WHITTEMORE Chief Finacial Officer 601-445-6203 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health |
| Enumeration Date | 2006-10-09 |
| Last Update Date | 2020-08-22 |