| NPI | 1194901736 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RHONDA MICHELLE GOLDSBY Registered Nurse/Casemgr. 501-516-2322 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: AR R66896) |
| Enumeration Date | 2008-01-14 |
| Last Update Date | 2008-01-14 |