| NPI | 1598874596 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBBIE MASON Manager 501-821-7768 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation (Licence: AR mc-2071) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2020-08-22 |