Individual
MR. CHARLES NORRIS AUSBROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MHPP
Contact information
Practice address
11321 INTERSTATE 30 STE 104, LITTLE ROCK, AR 72209-7064
(501) 202-7587
(501) 202-6683
Mailing address
11321 INTERSTATE 30 STE 104, LITTLE ROCK, AR 72209-7064
(501) 202-7587
(501) 202-6683
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/08/2009
Last updated
10/08/2009
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