| 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 |