| NPI | 1366073108 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVE PAYNE CFO 205-930-3200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X |
| Additional Taxonomies | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2020-01-30 |
| Last Update Date | 2020-01-30 |