| NPI | 1225852296 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DECOTA HALSTED Physician/Owner 501-499-3058 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 207P00000X Emergency Medicine |
| Enumeration Date | 2024-11-14 |
| Last Update Date | 2024-11-14 |