| NPI | 1114906393 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CONSTANCE H SMITH CEO 870-762-1942 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: AR AR4222) |
| Enumeration Date | 2006-01-16 |
| Last Update Date | 2009-01-05 |