| NPI | 1003070939 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY H HALSEY Eap Counselor 205-908-1350 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: AL C994A) |
| Enumeration Date | 2008-07-10 |
| Last Update Date | 2008-07-10 |