| NPI | 1023822699 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARLENE ANGELA BROWN Owner 501-613-7863 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 163W00000X Registered Nurse |
| 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) | |
| 261QM0850X Clinic/Center Adult Mental Health | |
| 251S00000X Community/Behavioral Health | |
| 261QP2400X Clinic/Center Prison Health | |
| 261QR1300X Clinic/Center Rural Health | |
| 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment | |
| 261QS1000X Clinic/Center Student Health | |
| 332900000X Non-Pharmacy Dispensing Site | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 347C00000X Private Vehicle | |
| 332BN1400X Durable Medical Equipment & Medical Supplies Nursing Facility Supplies | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health | |
| Enumeration Date | 2025-02-04 |
| Last Update Date | 2025-02-04 |