| NPI | 1629745179 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRAIG TINDALL CEO 404-693-7565 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2021-08-24 |
| Last Update Date | 2023-08-28 |