| NPI | 1265404669 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA E SNOW Administrator 501-834-5777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: AR AR3567) |
| Enumeration Date | 2006-02-02 |
| Last Update Date | 2014-01-24 |