| NPI | 1790207314 |
|---|---|
| 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 | 261QU0200X Clinic/Center Urgent Care |
| Enumeration Date | 2017-07-14 |
| Last Update Date | 2025-06-12 |