| 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 |