| NPI | 1992918197 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEVEN LANGHORNE Him Director 334-874-7428 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2023-04-12 |