| NPI | 1477569218 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | BARBARA SCHWERMAN Senior Accounts Rep 501-227-0705  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: AR R-4085)  | 
| Enumeration Date | 2006-08-01 | 
| Last Update Date | 2008-05-23 |