| NPI | 1356069819 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANTELLE SIMPSON President & Chief Executive Officer 828-202-5200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 104100000X Social Worker |
| 261QM1300X Clinic/Center Multi-Specialty | |
| Enumeration Date | 2022-08-19 |
| Last Update Date | 2024-12-16 |