NPI | 1447609763 |
---|---|
Entity Type | Organization |
Authorized Contact | CICELY LEVETTE WILLIAMS Owner 870-725-6475 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: AR A1503048) |
Enumeration Date | 2016-06-07 |
Last Update Date | 2016-06-07 |