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 |