| NPI | 1417605585 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONICA PAYNE Owner/Authorized Official 256-228-7179 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2022-03-16 |
| Last Update Date | 2022-05-16 |