NPI | 1245256494 |
---|---|
Entity Type | Organization |
Authorized Contact | PATRICIA KAY HARRIS President/Owner 205-608-2055 |
Organization Subpart ? | No |
Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: AL 00023211) |
Enumeration Date | 2006-07-14 |
Last Update Date | 2020-08-22 |