| NPI | 1366456287 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT THOMPSON CEO 850-747-5599 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2024-08-27 |