BRODERICK PARKER

LITTLE ROCK, AR
NPI1154538932
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Additional Taxonomies373H00000X Day Training/Habilitation Specialist
Enumeration Date2007-05-17
Last Update Date2010-09-13
Business Address
Mr. BRODERICK PARKER MHPP
20400 COL. GLENN RD.
LITTLE ROCK, AR 72210-5323
Phone number: 501-821-5500
Mailing Address
Mr. BRODERICK PARKER MHPP
20400 COL.GLENN RD.
LITTLE ROCK, AR 72210-5323
Phone number: 501-821-5500