| NPI | 1770202426 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL W BROOKS CEO 678-725-0142 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2022-08-25 |
| Last Update Date | 2023-09-06 |