NPI | 1134606304 |
---|---|
Entity Type | Organization |
Authorized Contact | CRYSTA LYNN PACE Owner 501-350-9590 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: AR 7188-C) |
Enumeration Date | 2018-07-20 |
Last Update Date | 2018-07-20 |