| NPI | 1881276319 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACOB E ABRAHAM Medical Director/Owner 501-655-1335 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2021-04-23 |
| Last Update Date | 2021-04-23 |