| NPI | 1386782787 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW HETRICK Administrator 256-340-1212 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: AL U5201) |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2007-11-15 |