NPI | 1083935514 |
---|---|
Entity Type | Organization |
Authorized Contact | DAVID STREETT Psychiatrist 501-664-4900 |
Organization Subpart ? | No |
Primary Taxonomy | 102L00000X Psychoanalyst (Licence: AR E 1489) |
Additional Taxonomies | 101YP2500X Counselor Professional (Licence: AR P0509059) |
1041C0700X Social Worker Clinical (Licence: AR 2242-C) | |
Enumeration Date | 2010-06-18 |
Last Update Date | 2010-06-18 |