| NPI | 1609011279 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN J UNRUH President 479-621-9006 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: AR 1250) |
| Enumeration Date | 2008-12-10 |
| Last Update Date | 2009-01-29 |