| NPI | 1467741744 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE ROBERT STOREY Manager 256-230-1116 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: AL 15022) |
| Enumeration Date | 2011-04-07 |
| Last Update Date | 2015-12-04 |