| NPI | 1861579336 |
|---|---|
| Other Name | SMALL WONDERS PROGRAM |
| Entity Type | Organization |
| Authorized Contact | SAM A. PRICE VP Finance 334-528-1313 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2008-02-01 |