| NPI | 1477958106 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRY L AMSTUTZ CEO 870-690-4132 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health (Licence: AR AR4657) |
| Enumeration Date | 2014-10-23 |
| Last Update Date | 2022-08-09 |