| NPI | 1174992168 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDON WILLIAMS CFO 205-838-3766 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 261Q00000X Clinic/Center (Licence: AL 1-130738) |
| Enumeration Date | 2015-09-19 |
| Last Update Date | 2017-09-06 |