| NPI | 1568525855 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER PATRICK CAMPBELL Office Manager 334-289-2190 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2023-03-07 |