| NPI | 1679393888 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZELDA PETERS Director 229-894-7877 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Additional Taxonomies | 251S00000X |
| 261Q00000X Clinic/Center | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QP2300X Clinic/Center, Primary Care | |
| 261QX0100X Clinic/Center, Occupational Medicine | |
| Enumeration Date | 2024-10-12 |
| Last Update Date | 2024-10-12 |