| NPI | 1083103105 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL LYNN EVANS Member 501-282-4547 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: AR 7186-c) |
| Enumeration Date | 2018-05-03 |
| Last Update Date | 2024-04-18 |