| NPI | 1013498542 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN LUTZ Chief Financial Officer 479-967-5570 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2018-08-23 |
| Last Update Date | 2019-04-18 |