| NPI | 1730450826 |
|---|---|
| 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 |