| NPI | 1245576396 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THERESA WEIR Office Manager 256-539-4079 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: AL 5770) |
| Enumeration Date | 2012-12-18 |
| Last Update Date | 2012-12-18 |