| NPI | 1457609869 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRAMEELAH MARSHAE BANKS Psychologist 501-960-5779 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AR 05-13P) |
| Enumeration Date | 2012-08-16 |
| Last Update Date | 2012-08-16 |