NPI | 1912365263 |
---|---|
Entity Type | Organization |
Authorized Contact | MARVA MELISSA MONROE Publice Health Nurse 404-612-5835 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: GA 261QF00X) |
Enumeration Date | 2016-02-02 |
Last Update Date | 2016-02-02 |