NPI | 1073001053 |
---|---|
Entity Type | Organization |
Authorized Contact | CAROL MCMILLAN HOLDER Administrator 334-473-8795 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health (Licence: AL 9450011701) |
Enumeration Date | 2018-04-25 |
Last Update Date | 2018-06-16 |