| NPI | 1851068324 |
|---|---|
| Former Legal Business Name | JACKSON FREE CLINIC FOR THE HOMELESS |
| Entity Type | Organization |
| Authorized Contact | HALI PETERSON Chair Of The Board 601-355-5161 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251V00000X Voluntary or Charitable |
| Enumeration Date | 2021-08-24 |
| Last Update Date | 2022-06-21 |