| NPI | 1861577900 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHY L. HALL Executive Director 256-332-1631 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2010-09-02 |