| NPI | 1427447812 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AHMED A.J. MCMAHAN Manager/Counselor 501-366-0282 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AR P0107024) |
| Enumeration Date | 2015-01-22 |
| Last Update Date | 2015-01-22 |