| NPI | 1750826475 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALMA F DAVIS Owner 256-476-6546 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: AL 2437) |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy (Licence: AL 2437) |
| Enumeration Date | 2017-01-04 |
| Last Update Date | 2017-01-04 |