Organization
PSYCAMORE, LLC
Active
Organization
PSYCAMORE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUDHAKAR MADAKASIRA (CEO/MEDICAL DIRECTOR)
(601) 939-5993
Entity
Organization
Contact information
Practice address
6323 RANCH DR, LITTLE ROCK, AR 72223-4623
(601) 939-5993
Mailing address
2540 FLOWOOD DR, FLOWOOD, MS 39232-9362
(601) 939-5993
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
AR
Other
Enumeration date
03/03/2016
Last updated
03/03/2016
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