| NPI | 1003020868 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACI G POWELL Office Manager 501-605-1144 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: AR MC-2391) |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2020-08-22 |