| NPI | 1992589741 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCIA T JENNINGS Revenue Cycle Coordinator 828-260-0476 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2023-08-22 |
| Last Update Date | 2023-08-22 |