| NPI | 1417426701 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT REX RECORD CEO 205-380-9447 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2018-11-16 |
| Last Update Date | 2023-07-18 |