| NPI | 1356406276 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY RAINS Owner 501-305-4068 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: AR MC-2211) |
| Enumeration Date | 2006-12-22 |
| Last Update Date | 2023-03-03 |