NPI | 1730450826 |
---|---|
Doing Business As | POTENTIAL HORIZON |
Entity Type | Organization |
Authorized Contact | RYAN BRUCE RUSSELL Speech Therapy 501-562-5400 |
Organization Subpart ? | No |
Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: AR SP#2073) |
Enumeration Date | 2012-01-20 |
Last Update Date | 2012-01-20 |