| NPI | 1346862703 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIKE C UMERAH CEO 501-664-2991 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
| Enumeration Date | 2020-05-08 |
| Last Update Date | 2020-05-08 |