| NPI | 1255947917 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HANNAH JEANNE CAVELL Psychologist 479-422-1155 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2020-09-18 |
| Last Update Date | 2020-09-18 |