| NPI | 1235261009 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA HEALD Coordinator Ar 802-775-8224 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 261QD1600X Clinic/Center, Developmental Disabilities |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2023-11-07 |