| NPI | 1013380351 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROGER MASON Chief Medical Officer 870-377-3742 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 363LC0200X Nurse Practitioner, Critical Care Medicine | |
| 106H00000X Marriage & Family Therapist | |
| 133NN1002X Nutritionist, Nutrition, Education | |
| Enumeration Date | 2015-11-09 |
| Last Update Date | 2016-09-06 |