| NPI | 1205294428 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VINCENT BONETTI Executive Director, Revenue Cycle 256-265-9641 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR1300X Clinic/Center Rural Health (Licence: AL B1704) |
| Enumeration Date | 2016-02-02 |
| Last Update Date | 2016-02-02 |