| NPI | 1164811758 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES VINCENT ANDERSON President 256-203-5185 |
| Organization Subpart ? | No |
| Primary Taxonomy | 364SF0001X Clinical Nurse Specialist, Family Health (Licence: AL 13621) |
| Enumeration Date | 2015-01-20 |
| Last Update Date | 2015-01-20 |