NPI | 1770635633 |
---|---|
Doing Business As | THRIVE ALABAMA |
Entity Type | Organization |
Authorized Contact | BRIAN ISOM Controller 256-445-5438 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Additional Taxonomies | 261QM2500X Clinic/Center, Medical Specialty |
Enumeration Date | 2007-01-18 |
Last Update Date | 2019-09-25 |