| 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 |