NPI | 1255954905 |
---|---|
Entity Type | Organization |
Authorized Contact | DEBBIE HAYS Supervisor 479-967-5570 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2020-05-28 |
Last Update Date | 2020-05-28 |