| NPI | 1003008376 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICKY R HICKS Director Pm 256-891-3144 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: AL 26482) |
| Enumeration Date | 2007-08-10 |
| Last Update Date | 2008-04-20 |