| 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 |