| NPI | 1750753224 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERICK MESSIAS Owner 501-773-9439 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084B0040X Psychiatry & Neurology Behavioral Neurology & Neuropsychiatry (Licence: AR E-6367) |
| Enumeration Date | 2015-10-23 |
| Last Update Date | 2015-10-23 |