| NPI | 1982456893 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEITH MARTIN BERNER Physician/Owner 479-935-3076 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2024-04-03 |
| Last Update Date | 2024-04-03 |