| NPI | 1669843074 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURINE ANNETTE MITCHELL Director Of Operation 205-585-2391 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: AK 8158) |
| Enumeration Date | 2015-10-12 |
| Last Update Date | 2015-10-12 |