| NPI | 1306780952 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRISCILLA TRUDELL Health Information Director, Inc 501-303-3115 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2026-04-15 |
| Last Update Date | 2026-04-15 |