| 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 |