| NPI | 1780399832 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL SOLOMON Director 205-737-0307 |
| Organization Subpart ? | No |
| Primary Taxonomy | 202K00000X |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207QA0401X Family Medicine, Addiction Medicine | |
| Enumeration Date | 2023-01-23 |
| Last Update Date | 2023-04-05 |