| NPI | 1710858006 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL JEROME STURDIVANT CEO 256-203-3883 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 101Y00000X Counselor |
| 133VN1201X Dietitian, Registered, Nutrition, Obesity and Weight Management | |
| 163WI0500X Registered Nurse, Infusion Therapy | |
| 225700000X Massage Therapist | |
| 103TP2701X Psychologist, Group Psychotherapy | |
| 111N00000X Chiropractor | |
| 101YM0800X Counselor, Mental Health | |
| 133NN1002X Nutritionist, Nutrition, Education | |
| Enumeration Date | 2025-09-17 |
| Last Update Date | 2025-12-15 |