NPI | 1881728392 |
---|---|
Entity Type | Organization |
Authorized Contact | KARINA POLEN-DAVIS Executive Director 334-269-6251 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health (Licence: AL L5127) |
Enumeration Date | 2007-03-15 |
Last Update Date | 2020-08-22 |