| NPI | 1043822075 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID ELLIS GAY CEO 205-758-6647 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2020-08-20 |
| Last Update Date | 2022-05-17 |