| NPI | 1518971597 |
|---|---|
| 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 | 2006-07-28 |
| Last Update Date | 2018-11-30 |