| NPI | 1114198942 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAVIS BRAXTON Director 256-726-7840 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2008-03-19 |
| Last Update Date | 2008-04-29 |