| NPI | 1043351166 |
|---|---|
| Former Legal Business Name | QUALLA YOUTH HEALTH CENTER |
| Entity Type | Organization |
| Authorized Contact | CYNTHIA KEEFER Program Manager 828-497-6217 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: NC 344572A) |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2009-01-16 |