| NPI | 1356746085 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER STROGOV President 256-997-5900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Additional Taxonomies | 208000000X Pediatrics |
| Enumeration Date | 2014-10-23 |
| Last Update Date | 2023-08-08 |