| NPI | 1851482376 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CASSANDRA COLLINS CEO 404-289-0313 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory (Licence: GA 11D1020819) |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2023-10-31 |