NPI | 1770822496 |
---|---|
Entity Type | Organization |
Authorized Contact | DAVID RINGER CEO 706-453-1201 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
Enumeration Date | 2013-02-01 |
Last Update Date | 2020-05-27 |