| NPI | 1063676393 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEVERLY CARAWAY Psychiatric Nurse Practitioner 870-291-1174 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AR A01906) |
| Enumeration Date | 2008-07-16 |
| Last Update Date | 2008-07-16 |