| NPI | 1790153997 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLA W BELCHER CEO 478-864-3448 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2015-09-04 |
| Last Update Date | 2015-10-24 |