| NPI | 1407891336 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLETON PYFROM CEO 256-534-8659 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2006-06-17 |
| Last Update Date | 2023-05-26 |