| NPI | 1770822652 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUZY ROBERTSON Manager 501-219-8043 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: AR E-6933) |
| Enumeration Date | 2013-02-12 |
| Last Update Date | 2013-02-12 |