| NPI | 1497863674 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRAHAM MACK REID Owner 501-221-3331 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: AR C-5446) |
| Enumeration Date | 2006-08-28 |
| Last Update Date | 2015-01-12 |