| NPI | 1376793406 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JON C HORNBECK Executive Director 870-509-1675 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 1041C0700X Social Worker, Clinical | |
| 253J00000X Foster Care Agency | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| Enumeration Date | 2008-09-25 |
| Last Update Date | 2022-01-06 |