| NPI | 1154575405 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM C PEEL Executive Director 870-862-7921 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2008-11-13 |
| Last Update Date | 2009-01-20 |