| NPI | 1891110540 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARGARET S PORTER Office Manager/ Authorized Official 256-770-7197 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: AL 19946) |
| Enumeration Date | 2014-03-04 |
| Last Update Date | 2022-08-08 |