NPI | 1780653188 |
---|---|
Doing Business As | LILLIE BURNEY ELEMENTRY SCHOOL |
Entity Type | Organization |
Authorized Contact | KAYE RAY Chief Executive Officer 601-545-8700 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
Enumeration Date | 2006-03-16 |
Last Update Date | 2022-09-06 |