| NPI | 1497020549 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHANDRA SMILEY Executive Director 850-436-4630 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2012-03-21 |
| Last Update Date | 2023-08-30 |