| NPI | 1033235361 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLARICE CELESTE HARRISON Office Manager 205-423-9440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: AL 20247) |
| Additional Taxonomies | 174400000X Specialist (Licence: AL 20264) |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2020-08-22 |