| NPI | 1366701476 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLAY NEW President 256-686-0023 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health (Licence: AL 01-3969) |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2012-05-09 |
| Last Update Date | 2013-06-07 |