| NPI | 1518101161 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHEILA PARKER CFO 205-212-5602 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2009-04-27 |
| Last Update Date | 2009-04-27 |