| NPI | 1326690595 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACY TERWILLIGER CEO 501-463-4627 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2019-07-09 |
| Last Update Date | 2021-01-05 |