NPI | 1619681145 |
---|---|
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) |
Enumeration Date | 2023-01-10 |
Last Update Date | 2024-01-22 |