| NPI | 1770785495 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CALVIN RAMSEY Medical Director 662-834-3596 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health (Licence: MS 07905) |
| Enumeration Date | 2007-06-04 |
| Last Update Date | 2009-06-26 |