| NPI | 1376200600 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIM ALLEN JONES Licensed Certified Social Worker 501-626-8606 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2021-11-22 |
| Last Update Date | 2021-11-22 |