| NPI | 1639809247 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELDA JOHNSON CEO 256-836-0853 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 208000000X Pediatrics | |
| Enumeration Date | 2022-06-15 |
| Last Update Date | 2025-06-12 |