| NPI | 1316466238 |
|---|---|
| Doing Business As | PRIDE OF TUSCALOOSA |
| Entity Type | Organization |
| Authorized Contact | DEREK OSBORN Executive Director 205-764-0351 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Enumeration Date | 2017-09-12 |
| Last Update Date | 2017-09-12 |