| NPI | 1043266315 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CINDY D CROW Billing Insurance 870-425-6901 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2008-04-09 |