| NPI | 1487623732 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALONZO RICHARD BURBA Business Owner 501-224-6625 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: AR r4463) |
| Enumeration Date | 2006-03-17 |
| Last Update Date | 2014-10-08 |