| NPI | 1639561103 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAWN MICHAEL RICHARD Physician 501-803-3418 |
| Organization Subpart ? | No |
| Primary Taxonomy | 273R00000X Psychiatric Unit (Licence: AR E-5344) |
| Additional Taxonomies | 273R00000X Psychiatric Unit (Licence: LA 022748) |
| Enumeration Date | 2015-02-20 |
| Last Update Date | 2015-02-20 |