| NPI | 1619356136 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANTELLE SIMPSON President & Chief Executive Officer 828-202-5200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2015-05-29 |
| Last Update Date | 2023-05-18 |