| NPI | 1306832845 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA LYNNE DUNLAP Clinic Administrator 870-338-8163 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health (Licence: AR MC-0292) |
| Enumeration Date | 2005-09-20 |
| Last Update Date | 2024-09-23 |