| NPI | 1831190263 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAY WHITE Executive Director 334-418-5081 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2005-08-09 |
| Last Update Date | 2007-09-05 |