| NPI | 1417111048 |
|---|---|
| Other Name | METHODIST COUNSELING CLINIC - FAYETTEVILLE |
| Entity Type | Organization |
| Authorized Contact | LESLEY DON COLE CFO 501-661-0720 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2008-07-13 |
| Last Update Date | 2016-04-07 |