| NPI | 1528821808 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMBER BARNES Utilization Review Manager 501-381-2001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center Adolescent and Children Mental Health |
| Additional Taxonomies | 261QM0850X Clinic/Center Adult Mental Health |
| Enumeration Date | 2024-01-31 |
| Last Update Date | 2024-01-31 |