NPI | 1538945399 |
---|---|
Entity Type | Organization |
Authorized Contact | RICHARD HENRY Enrollment Manager 479-258-2080 |
Organization Subpart ? | No |
Primary Taxonomy | 208D00000X General Practice |
Additional Taxonomies | 101Y00000X Counselor |
103T00000X Psychologist | |
104100000X Social Worker | |
106H00000X Marriage & Family Therapist | |
207Q00000X Family Medicine | |
207R00000X Internal Medicine | |
208000000X Pediatrics | |
Enumeration Date | 2023-09-06 |
Last Update Date | 2023-09-06 |