| NPI | 1295019321 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL BRANDON MARTIN Partner 870-797-4144 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: AR OTR1447) |
| Enumeration Date | 2011-10-07 |
| Last Update Date | 2011-10-07 |