| NPI | 1023338365 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT S MARIS Owner/President 501-219-2419 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: AR 79-22P) |
| Enumeration Date | 2010-06-09 |
| Last Update Date | 2010-06-09 |