| NPI | 1245465087 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTHA WEST Board Member And Registered Agent 501-658-7020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2009-05-22 |
| Last Update Date | 2009-05-22 |