| NPI | 1184754772 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARILYN J SAWYER Executive Director 251-578-1163 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2008-04-07 |