| NPI | 1457418659 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES P ALLEN CEO 256-259-5313 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2024-05-28 |