| NPI | 1568560696 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CECILIA COOK DALTON President/Owner 334-202-4342 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: AL 270) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2020-08-22 |