| NPI | 1275069346 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINA CARR Clinic Manager 501-663-2363 |
| Organization Subpart ? | No |
| Primary Taxonomy | 405300000X Prevention Professional (Licence: AR 207Q00000X) |
| Enumeration Date | 2017-05-10 |
| Last Update Date | 2017-05-12 |