| NPI | 1407141583 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS JOHN FRANS Behavioral Health Services Director 870-881-9301 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 251S00000X (Licence: AR 00078) |
| Enumeration Date | 2011-06-16 |
| Last Update Date | 2011-11-04 |