| NPI | 1699183392 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY THOMAS KAUMEYER Partner 501-463-9477 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: AR 1726) |
| Enumeration Date | 2014-07-25 |
| Last Update Date | 2014-08-18 |