| NPI | 1447720743 |
|---|---|
| Doing Business As | FAMILY HEALTH SOURCE |
| Entity Type | Organization |
| Authorized Contact | LAURIE ASBURY CEO 386-749-9449 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2018-11-29 |
| Last Update Date | 2020-03-18 |