| NPI | 1477095065 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMBER PLUGGE Owner, COO 479-264-8844 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AR 5284-C) |
| Enumeration Date | 2016-11-14 |
| Last Update Date | 2016-11-14 |