| NPI | 1871861294 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAMEELAH WESLEY Executive Director 501-240-2773 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174H00000X Health Educator (Licence: AR NETA) |
| Additional Taxonomies | 133NN1002X Nutritionist, Nutrition, Education (Licence: AR NETA) |
| 302R00000X Health Maintenance Organization (Licence: AR NETA) | |
| Enumeration Date | 2011-12-13 |
| Last Update Date | 2011-12-13 |