| NPI | 1487869467 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEANNE S FREEMAN Executive Director 850-459-2328 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 261QC1500X Clinic/Center, Community Health |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2023-03-28 |