| NPI | 1982844114 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA CHRISTINE SIMMONS President/Owner 870-862-8700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: AR A03003) |
| Enumeration Date | 2009-02-27 |
| Last Update Date | 2009-02-27 |