| NPI | 1598291478 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TED R BORGSTADT President 479-582-0777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 133N00000X Nutritionist | |
| 133V00000X Dietitian, Registered | |
| 163W00000X Registered Nurse | |
| 174H00000X Health Educator | |
| 183500000X Pharmacist | |
| 224Y00000X Clinical Exercise Physiologist | |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2017-05-11 |