| NPI | 1255930509 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARDONNE DIXON Admin 501-487-1903 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 175F00000X Naturopath |
| 251E00000X Home Health | |
| Enumeration Date | 2020-10-19 |
| Last Update Date | 2020-10-19 |