NPI | 1043393242 |
---|---|
Doing Business As | VA MENTAL HEALTH CLINIC |
Entity Type | Organization |
Authorized Contact | CINDY FARMER Compliance Officer 479-444-4301 |
Organization Subpart ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: AR P8812027) |
Enumeration Date | 2006-10-23 |
Last Update Date | 2020-08-22 |