| NPI | 1477806925 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHY GEORGE Owner 479-880-2288 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AR 0604EI) |
| Enumeration Date | 2012-10-22 |
| Last Update Date | 2014-10-02 |