| NPI | 1275141947 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY CLIFTON PRESTON President/CEO 870-725-4700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center Adolescent and Children Mental Health |
| Additional Taxonomies | 101YP2500X Counselor Professional |
| 1041C0700X Social Worker Clinical | |
| Enumeration Date | 2020-07-20 |
| Last Update Date | 2020-07-20 |