| NPI | 1861219644 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TINA ENGLAND Owner 501-223-2776 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261QI0500X Clinic/Center, Infusion Therapy |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2024-09-24 |
| Last Update Date | 2024-09-24 |