| NPI | 1942748488 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHANNOAH MCKINDRA WILLIAMS Owner/Nurse Practitioner/Provider 870-329-4730 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: AR A03593) |
| Enumeration Date | 2017-02-04 |
| Last Update Date | 2017-02-04 |