NPI | 1326040692 |
---|---|
Entity Type | Organization |
Authorized Contact | AARON R HOLWICK CEO 479-452-6650 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health |
Additional Taxonomies | 261QM0801X |
Enumeration Date | 2005-06-01 |
Last Update Date | 2023-09-18 |