| NPI | 1164625968 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DELANO ROGER BENJAMIN Medical Director 205-467-6111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health (Licence: AL 24889) |
| Enumeration Date | 2007-06-08 |
| Last Update Date | 2008-10-07 |