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 |