| NPI | 1457733099 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY ELIZABETH OBANA Office Manager 479-831-6007 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: AR E-7817) |
| Enumeration Date | 2015-06-19 |
| Last Update Date | 2018-11-01 |