| NPI | 1942817119 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERRY TUERK SCHLESINGER CEO 251-450-5901 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2020-09-30 |
| Last Update Date | 2020-09-30 |