| NPI | 1659439925 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUNNI D THROGMORTON Credentialing Specialist 501-228-7400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 103T00000X Psychologist |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2019-11-20 |