| NPI | 1063948891 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MUHAMMAD E ATA Owner 256-451-1250 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2017-08-28 |