| NPI | 1366255721 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA ROWE Owner 501-628-7443 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2025-01-29 |
| Last Update Date | 2025-02-01 |