| NPI | 1013120187 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMIA SHAUNT'E FISHER Mental Health Paraprofessional 479-521-5731 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2020-08-22 |