NPI | 1295423473 |
---|---|
Entity Type | Organization |
Authorized Contact | EARLENE JOINER DANIELS CFO 912-527-1088 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2023-04-26 |
Last Update Date | 2023-04-26 |