| NPI | 1033304274 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID WARD CEO 706-788-3234 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2007-09-11 |
| Last Update Date | 2023-11-20 |