| NPI | 1811425291 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASMIN CHAPMAN Chief Executive Officer 601-364-5142 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2017-05-30 |
| Last Update Date | 2018-06-16 |