| NPI | 1366992562 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONIQUE RANDLE CEO 501-398-1461 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AR 5364-C) |
| Enumeration Date | 2016-10-12 |
| Last Update Date | 2016-10-12 |