| NPI | 1417011487 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFERY Q TAYLOR CEO 404-298-8998 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2021-06-05 |