| NPI | 1336332857 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHERINE KENNEDY MCLEOD Chief Executive Officer 478-787-4266 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2007-08-20 |
| Last Update Date | 2012-11-07 |