| NPI | 1003671777 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | QUINYATTA MUMFORD Chief Executive Officer 501-229-9220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 261QC1500X Clinic/Center, Community Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 261QS1000X Clinic/Center, Student Health | |
| Enumeration Date | 2024-02-20 |
| Last Update Date | 2025-04-29 |