| NPI | 1659340404 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIM E. HAMMA Administrator 501-224-6767 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: AR 2638) |
| Enumeration Date | 2006-03-15 |
| Last Update Date | 2013-06-11 |