| NPI | 1356855324 |
|---|---|
| Doing Business As | CIVILPSYCH, LLC |
| Entity Type | Organization |
| Authorized Contact | ROBERT HEATH MEEKS Member 870-932-4744 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: AR 1870-C) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: AR 1870-C) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: AR 1870-C) | |
| 101YM0800X Counselor, Mental Health (Licence: AR 1870-C) | |
| 101YP2500X Counselor, Professional (Licence: AR 1870-C) | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: AR 1870-C) | |
| Enumeration Date | 2017-11-28 |
| Last Update Date | 2017-11-28 |