| NPI | 1780397513 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERALDINE Q. YOUNG Founder 601-941-7181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| 261QP0904X Clinic/Center, Public Health, Federal | |
| 261QP0905X Clinic/Center, Public Health, State or Local | |
| 261QR1100X Clinic/Center, Research | |
| Enumeration Date | 2022-12-26 |
| Last Update Date | 2022-12-26 |