| NPI | 1356671838 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE ECKERT Owner 870-534-4188 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: AR E2626) |
| Enumeration Date | 2010-01-06 |
| Last Update Date | 2010-01-06 |