NPI | 1952873994 |
---|---|
Entity Type | Organization |
Authorized Contact | MARGARET A GRAY President & CEO 601-825-7280 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2018-12-31 |
Last Update Date | 2020-04-16 |