| NPI | 1962130351 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLETON H. A. PYFROM President/CEO 256-534-8659 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2022-08-12 |
| Last Update Date | 2022-08-12 |