| NPI | 1831266618 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | E THOMAS ANDREWS President 404-880-3559 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: GA Not Required) |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2008-04-16 |