| NPI | 1336331057 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIDGET M PRESSLEY Office Manager 501-664-1500 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: AR R1749) |
| Enumeration Date | 2007-08-16 |
| Last Update Date | 2007-08-16 |