| NPI | 1477921864 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID GAY Chief Executive Officer 205-758-6647 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2015-09-02 |
| Last Update Date | 2021-07-14 |