| NPI | 1760721492 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARLA CARDON Clinic Manager 479-464-0840 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: AR E1940) |
| Enumeration Date | 2013-01-31 |
| Last Update Date | 2013-02-07 |