NPI | 1376793406 |
---|---|
Entity Type | Organization |
Authorized Contact | JON C HORNBECK Executive Director 870-509-1675 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Additional Taxonomies | 1041C0700X Social Worker, Clinical |
251S00000X | |
253J00000X Foster Care Agency | |
261QM0850X Clinic/Center, Adult Mental Health | |
Enumeration Date | 2008-09-25 |
Last Update Date | 2025-01-20 |