| NPI | 1700853553 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENJAMIN A RILEY Administrator 501-224-5500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: AR MC0427) |
| Enumeration Date | 2006-03-01 |
| Last Update Date | 2018-10-24 |