| NPI | 1932139169 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORA MCFALLS President 662-286-2300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health (Licence: MS 258980) |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2012-05-10 |