| NPI | 1124439591 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUSTIN A POWELL President 501-539-0905 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: AR E-8443) |
| Enumeration Date | 2014-05-19 |
| Last Update Date | 2014-12-12 |