| NPI | 1043693492 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEWIS WHITE Director 870-730-1150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AR A-088) |
| Enumeration Date | 2015-07-02 |
| Last Update Date | 2015-07-02 |