| NPI | 1093799405 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRETCHEN MARCHESE Financial Manager 501-604-4150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: AR AR3758) |
| Enumeration Date | 2005-11-30 |
| Last Update Date | 2013-12-11 |