| NPI | 1003270430 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER W RETAN Executive Director 205-324-6502 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family |
| Additional Taxonomies | 101Y00000X Counselor |
| 207R00000X Internal Medicine | |
| 207RA0401X Internal Medicine Addiction Medicine | |
| Enumeration Date | 2016-04-12 |
| Last Update Date | 2017-02-23 |