| NPI | 1699114132 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELLY A. KELLER CEO/Owner 870-336-8100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center Rehabilitation (Licence: AR 28812) |
| Enumeration Date | 2013-06-18 |
| Last Update Date | 2021-01-21 |