NPI | 1932586260 |
---|---|
Entity Type | Organization |
Authorized Contact | SARAH JESSICA-ELISE COLUCCINO Office Manager 479-242-2888 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center (Licence: AR E-7210) |
Enumeration Date | 2015-05-06 |
Last Update Date | 2017-12-14 |