| NPI | 1508471509 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID A RUBLE Owner 501-339-4155 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2020-09-15 |
| Last Update Date | 2020-10-23 |