| NPI | 1407009954 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNE A KEENAN Owner 479-967-4443 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AR 1929 C) |
| Enumeration Date | 2008-10-28 |
| Last Update Date | 2008-10-28 |