| NPI | 1619010634 |
|---|---|
| Other Name | SEE 1588795165 |
| Entity Type | Organization |
| Authorized Contact | MICHAEL ERNEST QUILLEN Health Care Business Manager 828-359-6194 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) (Licence: NC 344572A) |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2020-10-13 |