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 |