NPI | 1265624662 |
---|---|
Entity Type | Organization |
Authorized Contact | GINA MARIE NELSON President/Owner 205-841-6737 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center (Licence: AL 205732829) |
Enumeration Date | 2007-08-10 |
Last Update Date | 2008-06-18 |