| NPI | 1609298751 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA MEYERS Director 912-574-5074 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2014-01-08 |
| Last Update Date | 2022-05-09 |