NPI | 1730942665 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAEL LYNN SUNDAY CFO, VP Of Finance 828-696-1175 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
Additional Taxonomies | 261QM1300X Clinic/Center Multi-Specialty |
Enumeration Date | 2024-02-02 |
Last Update Date | 2024-05-07 |