| NPI | 1518228717 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY F HOLLEY President 256-264-0818 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: AL 15645) |
| Enumeration Date | 2012-06-04 |
| Last Update Date | 2012-06-04 |