| NPI | 1710299425 |
|---|---|
| Doing Business As | CIVITAN-SPARKS CLINICS ALL-KIDS |
| Entity Type | Organization |
| Authorized Contact | LATAMIA WHITE-GREEN Director 205-934-1055 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2010-07-10 |
| Last Update Date | 2010-07-14 |