| NPI | 1104323724 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARITY BENNETT JONES Owner 479-879-1611 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0700X Clinic/Center, Hearing and Speech (Licence: AR SP3166) |
| Enumeration Date | 2018-04-10 |
| Last Update Date | 2018-04-10 |