| NPI | 1184515439 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL BRANDON GODFREY Chief Clinical Officer 501-420-0906 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2025-07-14 |
| Last Update Date | 2025-07-14 |