| NPI | 1538429139 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CINDY L MELER-MICK Owner 256-574-2000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: AL 1560) |
| Enumeration Date | 2012-05-17 |
| Last Update Date | 2012-05-25 |