| NPI | 1215276282 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN D HAYDEN President 270-929-4141 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: AK 984616) |
| Enumeration Date | 2013-02-11 |
| Last Update Date | 2013-02-11 |