| NPI | 1114915840 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID J STREETT Psychiatrist 501-614-7712 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility (Licence: AR E 1489) |
| Enumeration Date | 2005-10-06 |
| Last Update Date | 2020-08-22 |