| NPI | 1487968525 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESS H YOUNGBLOOD President 256-582-2324 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health (Licence: AL 27882) |
| Enumeration Date | 2010-07-30 |
| Last Update Date | 2011-01-10 |