| NPI | 1376517177 |
|---|---|
| Doing Business As | NEA CLINIC |
| Entity Type | Organization |
| Authorized Contact | ERROL SCOT DAVIS CFO 870-934-5803 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2006-02-16 |
| Last Update Date | 2010-04-05 |