| NPI | 1457891525 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL W BROOKS CEO 404-752-1400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2017-03-08 |
| Last Update Date | 2023-02-01 |