| NPI | 1154019248 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EARLENE JOINER DANIELS CFO 912-527-1088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2023-04-26 |
| Last Update Date | 2023-04-26 |