| NPI | 1386920049 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZACH A NEWCOMB Director 479-856-2602 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: AR 2556-C) |
| Enumeration Date | 2011-10-26 |
| Last Update Date | 2011-10-26 |