| NPI | 1801807243 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM EDWARD SPAINE Director 479-442-8900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: AR 99-10P) |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2020-08-22 |