| NPI | 1235290735 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETE MARSHALL ATKINSON Administrator 870-862-2400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2022-07-21 |