| NPI | 1356447411 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA E FORD District Director/CEO 404-294-3787 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251K00000X Public Health or Welfare |
| Additional Taxonomies | 261QA0006X Clinic/Center Ambulatory Fertility Facility |
| 251K00000X Public Health or Welfare | |
| 251X00000X Supports Brokerage | |
| 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) | |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2007-10-23 |