| NPI | 1770056962 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE JONES-HEATH CEO 912-318-3947 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2019-01-10 |
| Last Update Date | 2019-01-10 |