NPI | 1205564267 |
---|---|
Entity Type | Organization |
Authorized Contact | MARIOUS TOLBERT Therapist 870-534-1834 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2022-08-09 |
Last Update Date | 2022-09-06 |