| NPI | 1689921355 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOLLY STONE Executive Director 334-281-8008 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251V00000X Voluntary or Charitable |
| Additional Taxonomies | 261Q00000X Clinic/Center (Licence: AL 1-116511) |
| Enumeration Date | 2012-08-13 |
| Last Update Date | 2021-07-23 |