| NPI | 1578775466 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA ROBERTSON Office Manager 479-474-4483 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
| 251S00000X (Licence: AR Arkansas P0401005) | |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2023-03-21 |