| NPI | 1902000557 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RHONDA MATTOX Owner 501-240-4295 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: AR e4855) |
| Enumeration Date | 2007-06-14 |
| Last Update Date | 2007-07-16 |