| NPI | 1598758153 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KERRI LYNN PARNELL Financial Manager 870-935-8500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: AR AR4142) |
| Enumeration Date | 2005-08-29 |
| Last Update Date | 2010-05-05 |