| NPI | 1245226489 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAMESH B PERAMSETTY Medical Director 205-553-1900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AL 21446) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AL 24373) |
| Enumeration Date | 2005-09-22 |
| Last Update Date | 2018-06-11 |