| NPI | 1770933673 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMBROSIA ALEXANDRA MISENHEIMER Owner/President 870-918-6684 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0002X Clinic/Center, Emergency Care (Licence: AR A004788) |
| Enumeration Date | 2016-06-21 |
| Last Update Date | 2016-06-21 |