| NPI | 1710117213 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES WHITE Chief Executive Officer 251-432-4117 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation |
| 2251G0304X Physical Therapist Geriatrics | |
| 2251P0200X Physical Therapist Pediatrics | |
| 225200000X Physical Therapy Assistant | |
| 261QP2000X Clinic/Center Physical Therapy | |
| Enumeration Date | 2009-07-17 |
| Last Update Date | 2022-08-30 |