| NPI | 1396897260 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH L HUMPHRIESH Clinical Administrator 501-801-1200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: AR AR4372) |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2020-08-22 |