| NPI | 1780037614 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GWENDOLYN LOWE Chief Financial Officer 912-721-6705 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2016-07-15 |
| Last Update Date | 2023-02-27 |