| NPI | 1407284532 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES RAYMOND BRADFORD President 256-647-3276 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: AL 00026295) |
| Enumeration Date | 2013-10-29 |
| Last Update Date | 2022-04-19 |