| NPI | 1922763846 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY L HAWKINS Owner/CEO 205-563-4550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 305S00000X Point of Service |
| Enumeration Date | 2021-11-04 |
| Last Update Date | 2021-11-04 |