| NPI | 1932650264 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN GREEN President 256-831-0334 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: AL 1552) |
| Enumeration Date | 2016-10-21 |
| Last Update Date | 2016-10-21 |