| NPI | 1457719767 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NARISSA R GRIFFIN Clinical Psychologist 479-629-4304 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AR 11-21P) |
| Enumeration Date | 2016-02-01 |
| Last Update Date | 2016-02-01 |