| NPI | 1013509074 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TYCOMA NESHAY MILLER Owner 256-452-7231 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine |
| Enumeration Date | 2021-02-10 |
| Last Update Date | 2021-02-10 |