| NPI | 1447543152 |
|---|---|
| Other Name | WYNNE CLINIC |
| Entity Type | Organization |
| Authorized Contact | DAVID COLEMAN CEO 870-238-9290 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2011-05-27 |
| Last Update Date | 2011-05-27 |