| NPI | 1255769550 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDI YOUNG Office 256-513-7255 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: AL 106252) |
| Enumeration Date | 2013-10-23 |
| Last Update Date | 2013-10-23 |