NPI | 1043023997 |
---|---|
Entity Type | Organization |
Authorized Contact | ELIZABETH LIVESAY CFO 205-946-0891 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2025-01-27 |
Last Update Date | 2025-02-14 |