| NPI | 1205268893 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BERNICE DELORES GRIFFIN President And CEO 877-532-5571 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health |
| Enumeration Date | 2013-08-06 |
| Last Update Date | 2022-09-24 |