NPI | 1215235320 |
---|---|
Entity Type | Organization |
Authorized Contact | DAVE RINGER CEO 706-453-1201 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2011-03-14 |
Last Update Date | 2024-02-14 |