| NPI | 1598461972 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELINA I. LONDONO Program Director 205-276-6359 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health |
| Enumeration Date | 2023-02-06 |
| Last Update Date | 2023-02-13 |