| NPI | 1457510539 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GENE W REID Owner 501-227-6916 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0805X Psychiatry & Neurology, Geriatric Psychiatry (Licence: AR C5579) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: AR C5579) |
| Enumeration Date | 2008-06-04 |
| Last Update Date | 2008-06-04 |