Organization
QAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
QUINTON L ALSTORK (OWNER)
(937) 867-9811
Entity
Organization
Contact information
Practice address
127 SPARKS ST, TROTWOOD, OH 45426-3016
(937) 867-9811
Mailing address
604 ELLSWORTH DR, TROTWOOD, OH 45426-2514
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Enumeration date
03/30/2021
Last updated
03/30/2021
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