| NPI | 1144515354 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY Q TAYLOR CEO 404-298-8998 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2011-06-15 |
| Last Update Date | 2021-06-05 |