| NPI | 1154597730 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEANNE BOSCHERT CEO 870-739-5852 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2008-05-05 |
| Last Update Date | 2008-05-05 |