| NPI | 1124105416 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES S LANE President 501-262-5614 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: AR C5421) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2012-05-04 |