| NPI | 1174558746 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELLEY SPIRES CEO 229-888-6559 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2015-10-15 |