| NPI | 1245724251 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN ANDREW MARTIN Dir Of Behavioral Health Services 479-263-7567 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AR P0610054) |
| Enumeration Date | 2018-06-22 |
| Last Update Date | 2018-06-22 |