| NPI | 1972046803 |
|---|---|
| Other Name | THE ALLEN FAMILY IRREVOCABLE TRUST |
| Entity Type | Organization |
| Authorized Contact | JOHN C ALLEN Grantor 205-567-0832 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP3300X Clinic/Center, Pain (Licence: AL 1-083260) |
| Enumeration Date | 2016-11-25 |
| Last Update Date | 2016-11-26 |