| NPI | 1356510507 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN TAYMORE Owner/Manager 479-366-4767 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AR s01091 cns) |
| Enumeration Date | 2008-02-21 |
| Last Update Date | 2013-08-23 |