| NPI | 1639523798 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SABRINA L. PENNINGTON CEO/Owner 334-770-0649 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: AL PTH4195) |
| Enumeration Date | 2016-04-14 |
| Last Update Date | 2016-04-14 |