| NPI | 1265154272 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN DALE ROBERTS Owner 501-951-7630 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine |
| Enumeration Date | 2022-09-15 |
| Last Update Date | 2022-09-15 |