| NPI | 1821270323 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIE WREN C. DENMARK CEO 478-237-6262 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2007-11-27 |
| Last Update Date | 2017-02-03 |