NPI | 1215765417 |
---|---|
Entity Type | Organization |
Authorized Contact | DAVE WARD CEO 706-788-3234 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
Enumeration Date | 2024-07-22 |
Last Update Date | 2024-07-22 |