| NPI | 1164700944 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CALVIN CECIL WALKER Member Of LLC 318-323-0700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: LA 07177R) |
| Enumeration Date | 2011-07-28 |
| Last Update Date | 2011-07-28 |