| NPI | 1780395632 |
|---|---|
| Doing Business As | DR. ARENIA C. MALLORY COMMUNITY HEALTH CENTER, INC. |
| Entity Type | Organization |
| Authorized Contact | LATRICE HUDSON Revenue Credentialing Specialist 662-834-0752 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2022-12-12 |
| Last Update Date | 2023-08-24 |