| NPI | 1144212341 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA A GOODWIN Business Manager 870-534-8651 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: AR MC-0028) |
| Enumeration Date | 2005-08-16 |
| Last Update Date | 2008-09-24 |