| NPI | 1609987361 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETE ROSS COO VP Of Operations 870-425-6212 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: AR AR4346) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2008-11-19 |