| NPI | 1518104843 |
|---|---|
| Doing Business As | PROGRAM FOR YOUNG ADULTS, WALKER FAMILY CLINIC |
| Entity Type | Organization |
| Authorized Contact | ANNA KATHRYN TERAVEST Mental Health Para Professional 501-908-1662 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2009-01-08 |
| Last Update Date | 2009-01-08 |