| NPI | 1154572840 |
|---|---|
| Doing Business As | ADPH STATEWIDE PROVIDER |
| Entity Type | Organization |
| Authorized Contact | REGINA PATTERSON Director 334-206-5061 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare |
| Enumeration Date | 2008-10-01 |
| Last Update Date | 2008-10-01 |