| NPI | 1295419901 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEBRINA HOLT Director Of Physician Network 256-216-9648 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2023-06-13 |
| Last Update Date | 2024-02-15 |