NPI | 1104071075 |
---|---|
Other Name | ROBERT L. MYLES, JR. |
Entity Type | Organization |
Authorized Contact | PAMELA JOYCE RANDOLPH Chief Operating Officer 501-265-0211 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X (Licence: AR 1404) |
Additional Taxonomies | 251B00000X Case Management (Licence: AR D33222) |
251B00000X Case Management (Licence: AR 408-C) | |
Enumeration Date | 2008-11-19 |
Last Update Date | 2008-11-19 |