| NPI | 1831144971 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIE WREN DENMARK CEO 478-237-6262 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2012-10-23 |