| NPI | 1154418382 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLARICE M RAGLAND Owner 256-534-3771 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: AL A0017) |
| Enumeration Date | 2006-10-09 |
| Last Update Date | 2020-08-22 |