| NPI | 1053675132 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EARLENE JOINER DANIELS Chief Administrative Officer 912-527-1088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2012-07-03 |
| Last Update Date | 2024-04-08 |