| NPI | 1922214303 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALAN R PHILLIPS Medical Services Manager 501-624-6217 |
| Organization Subpart ? | No |
| Primary Taxonomy | 273Y00000X Rehabilitation Unit (Licence: AR 107) |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2012-08-21 |