| NPI | 1356874945 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MERIDETH L JOHNSON Incorporator/Organizer 870-587-7056 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AR 4510C) |
| Enumeration Date | 2017-04-10 |
| Last Update Date | 2017-04-10 |