| NPI | 1366789901 |
|---|---|
| Doing Business As | FAMILY HEALTH CENTER @ LAKE FOREST |
| Entity Type | Organization |
| Authorized Contact | MICHAEL W BROOKS President, CEO 404-752-1400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2013-01-15 |
| Last Update Date | 2023-02-01 |