| NPI | 1720692783 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL WAYNE BROOKS CEO 404-756-8738 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2020-09-06 |
| Last Update Date | 2020-09-06 |