| NPI | 1417511387 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLENN MCCRACKEN Owner 501-428-3217 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2019-04-26 |
| Last Update Date | 2024-08-05 |