| NPI | 1194905547 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNA T KAHN Owner 870-365-0071 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: AR 1543) |
| Enumeration Date | 2007-11-13 |
| Last Update Date | 2007-11-13 |