| NPI | 1104217611 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAWSON WILLIAMS Therapist 501-837-9723 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AR F1501002) |
| Enumeration Date | 2015-02-05 |
| Last Update Date | 2015-02-05 |