NPI | 1255433736 |
---|---|
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 | 2006-09-04 |
Last Update Date | 2024-02-14 |