NPI | 1043455256 |
---|---|
Entity Type | Organization |
Authorized Contact | HAVIS KENT RINEHART President 870-534-1900 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261Q00000X Clinic/Center (Licence: AR 261Q00000X) |
Enumeration Date | 2008-12-03 |
Last Update Date | 2009-07-28 |