| NPI | 1154802981 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL SCHWARZ Lpc 479-301-5290 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: AR P1807094) |
| Enumeration Date | 2018-08-29 |
| Last Update Date | 2018-08-29 |