| NPI | 1902619315 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TANIEKA TA'SHA WILSON-MYERS Onwer 205-526-6060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty |
| Additional Taxonomies | 111N00000X Chiropractor |
| Enumeration Date | 2025-01-29 |
| Last Update Date | 2025-01-29 |