NPI | 1750458550 |
---|---|
Entity Type | Organization |
Authorized Contact | PATRICIA ANN WALDROP CEO 205-221-1799 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic (Licence: AL 00005812) |
Enumeration Date | 2006-11-29 |
Last Update Date | 2019-12-19 |