| NPI | 1114644598 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLA M GRANTT Cheif Executive Officer 501-744-8799 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 405300000X Prevention Professional |
| Enumeration Date | 2022-10-26 |
| Last Update Date | 2022-10-26 |