NPI | 1558880153 |
---|---|
Entity Type | Organization |
Authorized Contact | YOUSEF ARFAN FAHOUM Incorporator/Organizer 501-238-6560 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
Enumeration Date | 2017-09-14 |
Last Update Date | 2018-03-17 |