| NPI | 1427349919 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES M CRUMB President 251-345-0773 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: AL 24535) |
| Enumeration Date | 2011-05-02 |
| Last Update Date | 2015-02-04 |