| NPI | 1487841946 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUSSELL L. CRANFORD President/Owner 501-224-0794 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: AR MC1256) |
| Enumeration Date | 2007-09-28 |
| Last Update Date | 2007-09-28 |