| NPI | 1053364612 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK W HAYNIE CEO Elect 870-367-2461 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2015-02-20 |