| NPI | 1396870226 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARILYN JOYCE SWOPE Office Manager 501-730-0303 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: AR OTR1543) |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2020-08-22 |