| NPI | 1598108094 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MORGAN THOMAS SENSABAUGH Owner/Provider 870-569-4954 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: AR 16020) |
| Enumeration Date | 2013-04-15 |
| Last Update Date | 2015-05-06 |