| NPI | 1124483367 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLIE SIMPSON Owner 501-313-1185 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: AR P1310099) |
| Enumeration Date | 2015-12-14 |
| Last Update Date | 2015-12-14 |