| NPI | 1588219711 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TARA SHEA Administrator 205-877-1192 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Additional Taxonomies | 282N00000X General Acute Care Hospital |
| Enumeration Date | 2019-08-05 |
| Last Update Date | 2021-01-07 |