| NPI | 1053839837 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERRY TATMAN President 479-223-0326 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: AR P1705309) |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health (Licence: AR P1705309) |
| Enumeration Date | 2017-08-31 |
| Last Update Date | 2017-08-31 |