NPI | 1760612055 |
---|---|
Doing Business As | THE FAMILY HEALTH CENTER@ BOLTON VILLAGE |
Entity Type | Organization |
Authorized Contact | MICHAEL W BROOKS President, CEO 404-752-1400 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2009-07-21 |
Last Update Date | 2014-02-10 |