| NPI | 1003124272 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRACE LOUISE CULPEPPER Owner/Practitioner 479-200-8472 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) (Licence: AR 1729-C) |
| Enumeration Date | 2010-09-21 |
| Last Update Date | 2010-09-21 |