| NPI | 1962055699 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT MARTIN CIO 334-242-3315 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 261QR0400X Clinic/Center, Rehabilitation |
| Enumeration Date | 2019-07-22 |
| Last Update Date | 2020-05-12 |