| NPI | 1710923198 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NORMAN GARRISON Owner 334-281-3665 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: AL 13665) |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2020-08-22 |