| NPI | 1952518300 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAULA H STENNETT President 662-286-5112 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health (Licence: MS R124170) |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2020-08-22 |