| NPI | 1194016519 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAWNA BISHOP STEVENS Owner Manager 479-422-2280 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AR 2535-C) |
| Enumeration Date | 2011-04-20 |
| Last Update Date | 2011-04-20 |