| NPI | 1265154272 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARREL COLBY HAWLEY Owner 501-208-7037 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083P0901X Preventive Medicine Public Health & General Preventive Medicine |
| Enumeration Date | 2022-09-15 |
| Last Update Date | 2025-06-05 |