| NPI | 1053176339 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRITTANY LYNN NEELEY Owner 870-819-2076 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-02-16 |
| Last Update Date | 2025-03-02 |