| NPI | 1962076133 |
|---|---|
| Doing Business As | OAK GROVE MIDDLE SCHOOL |
| Entity Type | Organization |
| Authorized Contact | KAYE RAY CEO 601-545-8700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2021-05-13 |
| Last Update Date | 2022-09-06 |