Organization
PSYCHIATRIC SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID J STREETT M.D. (PSYCHIATRIST)
(501) 614-7712
Entity
Organization
Contact information
Practice address
5208 KAVANAUGH BLVD, SUITE 4, LITTLE ROCK, AR 72207-4609
(501) 614-7712
(501) 614-7708
Mailing address
5208 KAVANAUGH BLVD, SUITE 4, LITTLE ROCK, AR 72207-4609
(501) 614-7712
(501) 614-7708
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
E 1489
AR
Other
Enumeration date
10/06/2005
Last updated
08/22/2020
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