| NPI | 1265720957 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DON TURNER CEO 850-436-4630 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: FL 9340197) |
| Enumeration Date | 2011-07-14 |
| Last Update Date | 2012-04-09 |