NPI | 1174071526 |
---|---|
Entity Type | Organization |
Authorized Contact | BEVERLY J TRICKEY Owner 501-860-1114 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AR P0304017) |
Enumeration Date | 2016-09-14 |
Last Update Date | 2016-09-14 |