| NPI | 1780955872 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBIN PERKINS Billing Manager 479-478-5610 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AR R33106) |
| Additional Taxonomies | 251J00000X Nursing Care (Licence: AR R33106) |
| Enumeration Date | 2012-01-20 |
| Last Update Date | 2012-01-20 |