| NPI | 1922334325 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMECIA FOREMAN Owner 501-580-3324 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 261QH0700X Clinic/Center, Hearing and Speech |
| Enumeration Date | 2009-10-20 |
| Last Update Date | 2009-10-20 |