| NPI | 1134697071 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARMAINE BLAKE WOODE Director 256-429-9152 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2083B0002X Preventive Medicine, Obesity Medicine |
| Enumeration Date | 2018-11-08 |
| Last Update Date | 2018-11-08 |