| NPI | 1346789948 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLA WATKINS Owner 479-387-4200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AR A003468) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: AR RO51515) |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: AR A003468) | |
| Enumeration Date | 2017-02-15 |
| Last Update Date | 2017-02-15 |