| NPI | 1184077018 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA ADAMS Chief Financial Officer 912-495-8887 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2016-07-15 |
| Last Update Date | 2016-07-29 |