| NPI | 1508938945 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES N. WOODS Clinical Director 870-793-6774 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 251B00000X Case Management |
| 251S00000X Community/Behavioral Health | |
| 261QM0850X Clinic/Center Adult Mental Health | |
| 261QM0855X Clinic/Center Adolescent and Children Mental Health | |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2022-07-21 |