| NPI | 1366806945 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD E WLEKLINSKI Owner 479-220-2772 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: AR A003818) |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: AR A003818) |
| Enumeration Date | 2016-04-08 |
| Last Update Date | 2016-04-08 |