JUSTIN B PICKENS

LITTLE ROCK, AR
NPI1518112085
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2008-11-24
Last Update Date2008-11-24
Business Address
-- JUSTIN B PICKENS MHPP
1014 AUTUMN RD STE 3
LITTLE ROCK, AR 72211-3704
Phone number: 501-221-1941
Mailing Address
-- JUSTIN B PICKENS MHPP
1014 AUTUMN RD STE 3
LITTLE ROCK, AR 72211-3704
Phone number: 501-221-1941