NPI | 1114292638 |
---|---|
Entity Type | Organization |
Authorized Contact | KATHRYN T. CHENAULT President 501-819-0901 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: AR E0780) |
Enumeration Date | 2012-03-16 |
Last Update Date | 2012-03-16 |