| NPI | 1548012891 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CALVIN LIN PEELER Mental Health Counselor 501-864-6909 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2024-04-02 |
| Last Update Date | 2024-04-02 |