| NPI | 1104227800 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STUART RANDALL HILL VP/Treasurer 501-380-1004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry |
| Additional Taxonomies | 261QM0850X Clinic/Center Adult Mental Health |
| Enumeration Date | 2014-09-12 |
| Last Update Date | 2023-01-11 |