| NPI | 1073226726 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARVA LEWIS Executive Director 334-655-2944 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251T00000X PACE Provider Organization |
| Additional Taxonomies | 251K00000X Public Health or Welfare |
| 251S00000X | |
| Enumeration Date | 2022-12-27 |
| Last Update Date | 2023-01-06 |