NPI | 1437189784 |
---|---|
Entity Type | Organization |
Authorized Contact | KIM WAGENAAR CEO 828-285-0622 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2006-07-03 |
Last Update Date | 2023-07-03 |