| NPI | 1972832905 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID STREETT General Manager 501-551-1545 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2009-12-22 |
| Last Update Date | 2009-12-22 |