| NPI | 1821495623 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TESS SMITH Superintendent 601-794-1030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS1000X Clinic/Center, Student Health (Licence: MS 876971) |
| Additional Taxonomies | 163WS0200X Registered Nurse, School (Licence: MS R888519) |
| Enumeration Date | 2014-11-24 |
| Last Update Date | 2017-02-24 |