| NPI | 1649639113 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEREK ARTHUR BROWN Little Rock Area Director 501-455-8554 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: AR P1210096) |
| Enumeration Date | 2016-02-12 |
| Last Update Date | 2016-02-12 |