Most Relevant Information
Provider Data
| NPI Number: | 1003263013 |
| Provider Name: | NATHANIEL MCLEROY MHPP |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/19/2016 |
| Last Updated: | 05/19/2016 |
Provider Practice Location
1405 N PIERCE ST STE 101
LITTLE ROCK
AR
722075379
Practice Location Phone/Fax
| Phone: | 5016032147 |
| Fax: | 5016030324 |
Provider Mailing Location
1405 N PIERCE ST STE 101
LITTLE ROCK
AR
722075379
Provider Mailing Phone/Fax
| Phone: | 5016032147 |
| Fax: | 5016030324 |