| NPI | 1003148586 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BROOKE GOOD STEPHENS Executive Director 205-581-1000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: AL 2164) |
| Additional Taxonomies | 251S00000X (Licence: AL 2055) |
| Enumeration Date | 2010-02-08 |
| Last Update Date | 2010-02-08 |