| NPI | 1841475233 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REGINA ROSE HUDSON DE CORONA In House Counsel 205-979-3381 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: AL 8072) |
| Enumeration Date | 2008-01-03 |
| Last Update Date | 2008-01-03 |