| NPI | 1992993562 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DON LAND KELLER Owner 334-294-9342 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2007-10-09 |
| Last Update Date | 2007-10-09 |