| NPI | 1174613939 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK A THURMAN CEO 870-933-6886 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2021-03-09 |