| NPI | 1356996136 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEAN LUKE DAVIDSON CEO, Md 501-412-5520 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282N00000X General Acute Care Hospital |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery |
| 2084A0401X Psychiatry & Neurology, Addiction Medicine | |
| Enumeration Date | 2019-08-07 |
| Last Update Date | 2020-04-11 |