NPI | 1861721144 |
---|---|
Entity Type | Organization |
Authorized Contact | LISA CROCKETT CEO 256-464-7260 |
Organization Subpart ? | Yes |
Primary Taxonomy | 111N00000X Chiropractor (Licence: AL 2286) |
Additional Taxonomies | 261QC1500X Clinic/Center, Community Health |
261QH0100X Clinic/Center, Health Services (Licence: AL 2286) | |
261QP2300X Clinic/Center, Primary Care | |
261QR0200X Clinic/Center, Radiology (Licence: AL 2286) | |
261QV0200X Clinic/Center, VA | |
Enumeration Date | 2009-12-15 |
Last Update Date | 2009-12-15 |